Surgical instruments including a set of cutting burrs for performing an osteotomy

ABSTRACT

Surgical instruments and methods for performing an osteotomy are disclosed herein. A surgical instrument includes a body with a distal end, a proximal end, a first surface, and a second surface. The surgical instrument can include cutting burrs positioned on the first surface and/or the second surface. The surgical instrument can also include cutting burrs positioned on the first surface and cutting blades positioned on the second surface.

REFERENCE TO RELATED APPLICATION

This application is a Continuation-In-Part of and claims priority toU.S. patent application Ser. No. 16/459,545, now U.S. Patent No.XXXXXXX, filed on Jul. 1, 2019, and is also a Continuation-In-Part ofand claims priority to U.S. patent application Ser. No. 17/538,781,filed on Nov. 30, 2021, which is a Continuation of and claims priorityto U.S. patent application Ser. No. 16/537,495, now U.S. Pat. No.11,253,273, filed on Aug. 9, 2019, which is a Continuation-In-Part ofand claims priority to U.S. patent application Ser. No. 16/459,555, nowU.S. Pat. No. 11,253,272, filed on Jul. 1, 2019, the contents of each ofwhich are incorporated herein by reference in their entirety.

FIELD OF THE TECHNOLOGY

The present technology relates generally to surgical cutting apparatus,and more particularly to, surgical instruments for performingosteotomies.

BACKGROUND

Surgical cutting instruments come in many shapes and sizes. Inperforming an osteotomy with a single-sided device, the user (e.g., aphysician, surgeon, etc.) is often required to perform multiple cutsand/or passes to achieve a desired shape and/or osteotomy. Further,multiple cuts and/or passes with using a surgical instrument can resultin inconsistencies in shape and/or size of the resulting osteotomy indifferent patients. In other words, it takes more time to perform aosteotomy than is otherwise needed and/or there is a degree ofinconsistency and/or inaccuracy when a traditional surgical instrumentis utilized to perform an osteotomy.

SUMMARY

Various embodiments provide surgical instruments and methods forperforming an osteotomy. A surgical instrument includes a body with adistal end, a proximal end, a first surface, and a second surface. Thesurgical instrument can include cutting burrs positioned on the firstsurface and/or the second surface. The surgical instrument can includecutting burrs positioned on the first surface and cutting bladespositioned on the second surface.

BRIEF DESCRIPTION OF THE DRAWINGS

To readily understand the advantages and benefits of the technology, amore particular description of the technology briefly described abovewill be rendered by reference to specific embodiments that areillustrated in the appended drawings. Understanding that these drawingsdepict typical embodiments of the technology, and are therefore not tobe considered to be limiting of its scope, the technology will bedescribed and explained with additional specificity and detail throughthe use of the accompanying drawings, in which:

FIGS. 1A through 1E are schematic diagrams illustrating variousembodiments of a surgical instrument including cutting burrs on a topsurface;

FIGS. 2A through 2E are schematic diagrams illustrating various otherembodiments of a surgical instrument including cutting burrs on a topsurface;

FIGS. 3A through 3E are schematic diagrams illustrating various furtherembodiments of a surgical instrument including cutting burrs on a topsurface;

FIGS. 4A through 4J are schematic diagrams illustrating variousembodiments of a double-sided surgical instrument including cuttingburrs;

FIGS. 5A through 5C are schematic diagrams illustrating variousembodiments of a double-sided surgical instrument including cuttingburrs and columns of cutting blades;

FIGS. 6A through 6C are schematic diagrams illustrating variousembodiments of a double-sided surgical instrument including cuttingburrs and rows of cutting blades; and

FIGS. 7 through 10 are schematic flow diagrams of various embodiments ofa method for aligning two bones connected at a joint.

DETAILED DESCRIPTION OF THE DRAWINGS

It should be understood that the language used in the present disclosurehas been principally selected for readability and instructionalpurposes, and not to limit the scope of the subject matter disclosedherein in any manner. Further, reference throughout this specificationto “one embodiment,” “an embodiment,” or similar language means that aparticular feature, structure, or characteristic described in connectionwith the embodiment is included in at least one embodiment. Thus,appearances of the phrases “in one embodiment,” “in an embodiment,” andsimilar language throughout this specification may, but do notnecessarily, all refer to the same embodiment, but mean “one or more butnot all embodiments” unless expressly specified otherwise. The terms“including,” “comprising,” “having,” and variations thereof mean“including, but not limited to” unless expressly specified otherwise. Anenumerated listing of items does not imply that any or all of the itemsare mutually exclusive and/or mutually inclusive, unless expresslyspecified otherwise. The terms “a,” “an,” and “the” also refer to “oneor more” unless expressly specified otherwise.

In addition, as used herein, the term “set” can mean “one or more,”unless expressly specified otherwise. The term “sets” can mean multiplesof or a plurality of “one or mores,” “ones or more,” and/or “ones ormores” consistent with set theory, unless expressly specified otherwise.

Furthermore, the described features, advantages, and characteristics ofthe embodiments may be combined in any suitable manner. One skilled inthe relevant art will recognize that the embodiments may be practicedwithout one or more of the specific features or advantages of aparticular embodiment. In other instances, additional features andadvantages may be recognized in certain embodiments that may not bepresent in all embodiments.

Aspects of the embodiments are described below with reference toschematic flowchart diagrams and/or schematic block diagrams of methods,apparatuses, and systems according to embodiments. The schematicflowchart diagrams and/or schematic block diagrams in the Figuresillustrate the structure, functionality, and operation of possibleimplementations of apparatuses, systems, and methods according tovarious embodiments.

It should also be noted that, in some alternative implementations, thefunctions noted in the block may occur out of the order noted in theFigures. For example, two blocks shown in succession may, in fact, beexecuted substantially concurrently, or the blocks may sometimes beexecuted in the reverse order. Other steps and methods may be conceivedthat are equivalent in function, logic, or effect to one or more blocks,or portions thereof, of the illustrated Figures.

Although various arrow types and line types may be employed in theflowchart and/or block diagrams, they are understood not to limit thescope of the corresponding embodiments. Indeed, some arrows or otherconnectors may be used to indicate only the logical flow of the depictedembodiment. For instance, an arrow may indicate a waiting or monitoringperiod of unspecified duration between enumerated steps of the depictedembodiment. It will also be noted that each block of the block diagramsand/or flowchart diagrams, and combinations of blocks in the blockdiagrams and/or flowchart diagrams, can be implemented by specialpurpose hardware-based systems that perform the specified functions oracts, or combinations of special purpose hardware and code.

The present technology may include any type of surgical instrument andis not limited to the style of surgical instrument depicted in thedrawings. Furthermore, the described features, structures, orcharacteristics of the various embodiments may be combined in anysuitable manner. One skilled in the relevant art will recognize,however, that embodiments may be practiced without one or more of thespecific details, or with other methods, components, materials, and soforth. In other instances, well-known structures, and/or materials arenot shown or described in detail to avoid obscuring aspects of anembodiment.

Turning now to the Figures, FIGS. 1A through 1E are schematic diagramsillustrating various views of various embodiments of a surgicalinstrument 100. In various embodiments, the surgical instrument 100 canbe utilized to perform a wedge-shaped osteotomy. Further, thewedge-shaped osteotomy can be achieved with a single cut or passutilizing the surgical instrument 100.

A surgical instrument 100 may be constructed of any suitable materialthat can cut bone. In various embodiments, the surgical instrument 100is constructed of a sterilized suitable material that can cut bone. Insome embodiments, the surgical instrument 100 includes stainless steel,among other suitable materials and combinations of materials that arepossible and contemplated herein. In additional or alternativeembodiments, the surgical instrument 100 includes surgical gradestainless steel, among other suitable surgical grade materials andcombinations of materials that are possible and contemplated herein.

At least in the illustrated embodiment, the surgical instrument 100includes, among other features, a body 102 including at least a bottomsurface 104, a top surface 106, a distal end 108, and a proximal end110, a set of cutting burrs 112 positioned on the body 102, a set ofcutting teeth 114 positioned on the distal end 108, and an attachmentmechanism 116 positioned on the proximal end 110. A body 102 may includeany suitable dimensions that can perform an osteotomy. The dimensionsmay include any suitable dimensions that are capable of performing anosteotomy on a human.

In various embodiments, the body 102 includes a length L1 (see FIG. 1B)in the range of about 15 mm to about 70 mm, among other ranges of lengthand/or lengths that are possible and contemplated herein. In someembodiments, the body 102 includes a length L1 of about 20 mm, amongother lengths that are possible and contemplated herein.

The body 102 further includes a width W1 (see FIG. 1B) at the distal end108 and a width W2 (see FIG. 1B) at the proximal end 110. In variousembodiments, the width W1 is in the range of about 5 mm to about 30 mm,among other ranges of widths and/or widths that are possible andcontemplated herein. In some embodiments, the width W1 is about 7.5 mm,among other widths that are possible and contemplated herein. Inadditional or alternative embodiments, the width W2 is in the range ofabout 5 mm to about 70 mm, among other ranges of widths and/or widthsthat are possible and contemplated herein. In some embodiments, thewidth W2 is about 11 mm, among other widths that are possible andcontemplated herein.

In some embodiments, the width W1 and the width W2 are the same width orsubstantially the same width. In other embodiments, the width W2 isgreater than the width W1 such that the proximate end 110 is wider thanthe distal end 108 or, alternatively, the distal end 108 is narrowerthan the proximate end 110 (e.g., the width W1 is less than the widthW2). That is, in various embodiments, the surgical instrument 100includes a tapered shape and/or tapers from the distal end 108 to theproximate end 110.

A bottom surface 104 may include any suitable shape and/or profile thatcan facilitate or assist the surgical instrument 100 in performing anosteotomy (e.g., a wedge-shaped osteotomy). In various embodiments, thebottom surface 104 includes a flat or substantially flat surface, amongother profiles and/or planes that are possible and contemplated herein.

A top surface 106 may include any suitable profile upon which a set ofcutting burrs 112 can be positioned. In various embodiments, the topsurface 106 includes a slope 118 (see FIGS. 1C, 1D, and 1E) that extendsupward and/or away from the bottom surface 104 and the distal end 108.The slope 118 may include any suitable grade (e.g., rise over run) thatcan facilitate and/or assist the surgical instrument 100 in performingan osteotomy and particularly, a wedge-shaped osteotomy. That is, thetop surface 106 and/or surgical instrument 100 may include any suitablegrade that can facilitate and/or assist the surgical instrument 100 inperforming a wedge-shaped osteotomy in one cut and/or one pass.

In various embodiments, the slope 118 includes a grade in the range ofabout zero degrees (0° or flat) to about fifteen degrees (15°), amongother ranges of grades, grades, and/or slopes that are possible andcontemplated herein. In other words, an angle θ in the range of about 0°to about 15° (e.g., the angle θ=0°, 1°, 2°, 3°, 4°, 5°, 6°, 7°, 8°, 9°,10°, 11°, 12°, 13°, 14°, or 15° and/or the angle θ≈0°, 1°, 2°, 3°, 4°,5°, 6°, 7°, 8°, 9°, 10°, 11°, 12°, 13°, 14°, or) 15° is defined betweenthe top surface 106 and the bottom surface 104 beginning at the distalend 108 and extending upward and toward the proximate end 110, as shownin FIGS. 1C, 1D, and 1E. In some embodiments, the slope 118 includes agrade of about seven (7°) degrees (e.g., the angle θ=7° or the angleθ≈7°), among other suitable grades and/or slopes that are possible andcontemplated herein.

As illustrated, the top surface 106 includes a set of cutting burrs 112positioned thereon. The set of cutting burrs 112 may be positioned onthe top surface 106 in a patterned configuration or a non-patternedconfiguration. A patterned configuration (see also surgical instruments200 and/or 300) may include any suitable pattern of cutting burrs 112that can assist in and/or facilitate performing an osteotomy andparticularly, a wedge-shaped osteotomy. A non-patterned configurationmay include any suitable distribution of cutting burrs 112 that canassist in and/or facilitate performing an osteotomy and particularly, awedge-shaped osteotomy.

A set of cutting burrs 112 may include any suitable quantity of cuttingburrs 112 that can facilitate and/or assist the surgical instrument 100in performing an osteotomy and particularly, a wedge-shaped osteotomy.In various embodiments, the top surface 106 includes a suitable quantityof cutting burrs 112 so that the surgical instrument 100 can perform awedge-shaped osteotomy in one cut and/or one pass. In variousembodiments, the top surface 106 includes a quantity of cutting burrs112 in the range of about 3 cutting burrs 112 to about 1000 cuttingburrs 112, among other ranges of quantities of cutting burrs 112 and/orquantities of cutting burrs 112 that are possible and contemplatedherein. In some embodiments, the top surface 106 includes 50 cuttingburrs 112, among other quantities of cutting burrs 112 that are possibleand contemplated herein.

While the surgical instrument 100 is shown with a top surface 106including a specific quantity of cutting burrs 112, the variousembodiments of the surgical instrument 100 are not limited to theillustrated quantity of cutting burrs 112. That is, various otherembodiments of a surgical instrument 100 can include a differentquantity of cutting burrs 112 such that the top surface 106 can includea greater quantity of cutting burrs 112 or a smaller quantity of cuttingburrs 112 than the illustrated quantity of cutting burrs 112.

In some embodiments, the cutting burrs 112 may be included on theentirety or substantially the entirety of the top surface 106. In otherembodiments, the cutting burrs 112 may be included on a portion of thetop surface 106 (see FIG. 1D) or at least a portion of the top surface106.

The portion of the top surface 106 including the cutting burrs 112 mayinclude any suitable sized portion that can produce a wedge-shapedosteotomy. Various embodiments of the surgical instrument 100 mayinclude varying sized portions of the top surface 106 including thecutting burrs 112 so that different sized and/or wedge-shapedosteotomies can be obtained.

A cutting burr 112 may include any suitable shape that can facilitateand/or assist the surgical instrument 100 in performing an osteotomy(e.g., a wedge-shaped osteotomy). In various embodiments, a cutting burr112 can include a diamond shape, a pointed shape (e.g., a shape thatcomes to a sharp point), a flame shape, a bullet shape, a cone shape, atapered shape, or an egg shape, among other suitable shapes that canfacilitate cutting bone that are possible and contemplated herein. Inadditional or alternative embodiments, a cutting burr 112 may beconsidered the same as or similar to a cutting tooth and/or cuttingteeth.

In some embodiments, all of the cutting burrs 112 in the set of cuttingburrs 112 on the top surface 106 include the same or substantially thesame shape. In alternative embodiments, at least two cutting burrs 112in the set of cutting burrs 112 on the top surface 106 include differentshapes or substantially different shapes. In one non-limiting example,at least one cutting burr 112 includes the diamond shape and at leastone cutting burr 112 includes the pointed shape (or other non-diamondshape), among other shapes and/or combinations of shapes that arepossible and contemplated herein.

In additional or alternative embodiments, a set of cutting burrs 112 caninclude at least two subsets of cutting burrs 112 in which a firstsubset includes two or more cutting burrs 112 including the diamondshape, the flame shape, the pointed shape, the bullet shape, the coneshape, the tapered shape, or the egg shape and at least a second subsetincludes two or more cutting burrs 112 including a different one of thediamond shape, the flame shape, the pointed shape, the bullet shape, thecone shape, the tapered shape, or the egg shape. In a non-limitingexample, a first subset of cutting burrs 112 includes the diamond shapeand a second subset of cutting burrs 112 includes the flame shape (orother non-diamond shape), among other shapes and/or combination ofshapes that are possible and contemplated herein.

In further additional or alternative embodiments, the first subset ofcutting burrs 112 and the second subset of cutting burrs 112 includingdifferent shapes include the same quantity of cutting burrs 112. Inother embodiments, the first subset of cutting burrs 112 and the secondsubset of cutting burrs 112 including different shapes include differentquantities of cutting burrs 112.

In yet further additional or alternative embodiments, the cutting burrs112 in the first subset and the cutting burrs 112 in the second subsetincluding different shapes may be distributed on and/or around the topsurface 106 of the body 102 in a non-patterned configuration. In otherembodiments, the cutting burrs 112 in the first subset of cutting burrs112 and the cutting burrs 112 in the second subset of cutting burrs 112including different shapes may be deliberately positioned and/or groupedon and/or around the top surface 106 of the body 102.

In one non-limiting example, the cutting burrs 112 including the diamondshape may be grouped together at a position at or near the distal end108 (or away from the proximate end 110) or grouped together at aposition at or near the proximate end 110 (or away from the distal end108) and the cutting burrs 112 including an egg shape (or othernon-diamond shape) may be positioned opposite the cutting burrs 112including the diamond shape, among other shapes and/or combinations ofshapes that are possible and contemplated herein. In anothernon-limiting example, a greater quantity of the cutting burrs 112including the diamond shape may be grouped together at a position at ornear the distal end 108 (or away from the proximate end 110) than isgrouped together at a position at or near the proximate end 110 (or awayfrom the distal end 108) and the cutting burrs 112 including thenon-diamond shape may be positioned opposite the cutting burrs 112including the diamond shape or vice-versa, among other shapes and/orcombinations of shapes that are possible and contemplated herein.

A cutting burr 112 may include any suitable height that can facilitateand/or assist the surgical instrument 100 in performing an osteotomy(e.g., a wedge-shaped osteotomy). In various embodiments, the cuttingburrs 112 can include a height in the range of about 0.1 mm to about 30mm, among other suitable heights that can facilitate cutting bone thatare possible and contemplated herein. In some embodiments, the cuttingburrs 112 include a height of 0.75 mm.

In some embodiments, all of the cutting burrs 112 in the set of cuttingburrs 112 on the top surface 106 can include the same or substantiallythe same height (see FIG. 1C). In alternative embodiments, at least twocutting burrs 112 in the set of cutting burrs 112 on the top surface 106include different heights or substantially different heights (see FIG.1E). In additional or alternative embodiments, a set of cutting burrs112 can include at least two subsets of cutting burrs 112 in which afirst subset includes two or more cutting burrs 112 including a firstheight that is taller than at least a second subset that includes two ormore cutting burrs 112.

In further additional or alternative embodiments, the first subset ofcutting burrs 112 and the second subset of cutting burrs 112 includingdifferent heights can include the same quantity of cutting burrs 112. Inother further additional or alternative embodiments, the first subset ofcutting burrs 112 and the second subset of cutting burrs 112 includingdifferent heights can include different quantities of cutting burrs 112.

In yet further additional or alternative embodiments, the cutting burrs112 in the first subset of cutting burrs 112 and the cutting burrs 112in the second subset of cutting burrs 112 including different heightsmay be randomly distributed on and/or around the top surface 106 of thebody 102. In other embodiments, the cutting burrs 112 in the firstsubset of cutting burrs 112 and the cutting burrs 112 in the secondsubset of cutting burrs 112 including different heights may bedeliberately positioned and/or grouped on and/or around the top surface106 of the body 102.

In one non-limiting example, the cutting burrs 112 including the greaterheight may be grouped together at a position at or near the proximateend 110 (or away from the distal end 108) and the cutting burrs 112including the smaller height may be positioned at the distal end 108 (oraway from the proximate end 110). In another non-limiting example, agreater quantity of the cutting burrs 112 including the smaller heightmay be grouped together at a position at or near the distal end 108 (oraway from the proximate end 110) than is grouped together at a positionat or near the proximate end 110 (or away from the distal end 108) andthe cutting burrs 112 including the greater height may be positionedopposite the cutting burrs 112 including the smaller height.

As shown, the distal end 108 includes a set of cutting teeth 114 (e.g.,a single tooth 114 or multiple teeth 114) positioned thereon. A set ofcutting teeth 114 may include any suitable quantity of teeth 114 thatcan assist in and/or facilitate initiating an osteotomy when oscillatedand particularly, a wedge-shaped osteotomy.

In various embodiments, the set of cutting teeth 114 includes a quantityof cutting teeth 114 in the range of one (1) cutting tooth 114 to about50 cutting teeth 114, among other ranges of quantities and/or quantitiesof cutting teeth 114 that are possible and contemplated herein. In someembodiments, a set of cutting teeth 114 includes about 8 cutting teeth114, among other quantities of cutting teeth 114 that are possible andcontemplated herein.

In some embodiments, the set of cutting teeth 114 is positioned on thedistal end 110 in a straight line or substantially straight line. Inother embodiments, the set of cutting teeth 114 is positioned along acurve on the distal end 110 defined by a radius R1.

The radius R1 may be any suitable radius and/or curvature that canassist in and/or facilitate initiating an osteotomy (e.g., awedge-shaped osteotomy) when oscillated. In various embodiments, theradius R1 is in the range of about 5 mm to about 80 mm, among otherranges of lengths and/or lengths that can define an amount and/or degreeof curvature that are possible and contemplated herein. In someembodiments, the radius R1 is about 25 mm, among other lengths that candefine an amount and/or degree of curvature that are possible andcontemplated herein.

In some embodiments, the set of cutting teeth 114 on the distal end maydefine a cutting tip 120 that can initiate an osteotomy. Further, thecutting burrs 112 positioned along the single-plane slope 118 may definea cutting slope 118 that can perform the osteotomy to produce awedge-shaped cut. In various embodiments, the coordination of thecutting tip 120 and the cutting slope 118 can allow the surgicalinstrument 100 to produce a wedge-shaped osteotomy in a single cutand/or single pass.

As further shown, the proximal end 110 includes an attachment mechanism116 positioned thereon. The attachment mechanism 116 may include anysuitable size dimensions, shape, and/or configuration that enablesattachments of the surgical instrument 100 to another surgicalinstrument (not shown). That is, while the attachment mechanism 116 isshown as including particular relative size dimensions, shapes, andconfigurations, the various embodiments of the surgical instrument 100are not limited to the illustrated attachment mechanism 116. That is,other embodiments of the surgical instrument 100 may include one or moredifferent relative size dimension(s), shapes, and/or configurations.

FIGS. 2A through 2E are schematic diagrams illustrating various views ofone embodiment of a surgical instrument 200. In various embodiments, thesurgical instrument 200 can be utilized to perform a wedge-shapedosteotomy. Further, a wedge-shaped osteotomy can be achieved with asingle cut or pass utilizing the surgical instrument 200.

A surgical instrument 200 may be constructed of any suitable materialthat can cut bone. In various embodiments, the surgical instrument 200is constructed of a sterilized suitable material that can cut bone. Insome embodiments, the surgical instrument 200 includes stainless steel,among other suitable materials that are possible and contemplatedherein. In additional or alternative embodiments, the surgicalinstrument 200 includes surgical grade stainless steel, among othersuitable surgical grade materials that are possible and contemplatedherein.

At least in the illustrated embodiment, the surgical instrument 200includes, among other features, a body 202 including at least a bottomsurface 204, a top surface 206, a distal end 208, and a proximal end210, a set of cutting burrs 212 positioned on the body 202 and arrangedin multiple rows 222 (e.g., a plurality of rows 222), a set of cuttingteeth 214 positioned on the distal end 208, and an attachment mechanism216 positioned on the proximal end 210. A body 202 may include anysuitable dimensions that can perform an osteotomy. In variousembodiments, the body 202 includes dimensions that are suitable forperforming an osteotomy on a human.

In various embodiments, the body 202 includes a length L2 (see FIG. 2B)in the range of about 15 mm to about 70 mm, among other ranges of lengthand/or lengths that are possible and contemplated herein. In someembodiments, the body 202 includes a length L2 of about 20 mm, amongother lengths that are possible and contemplated herein.

The body 202 further includes a width W3 (see FIG. 2B) at the distal end208 and a width W4 (see FIG. 2B) at the proximal end 210. In variousembodiments, the width W3 is in the range of about 5 mm to about 30 mm,among other ranges of widths and/or widths that are possible andcontemplated herein. In some embodiments, the width W3 is about 7.5 mm,among other widths that are possible and contemplated herein. Inadditional or alternative embodiments, the width W4 is in the range ofabout 5 mm to about 70 mm, among other ranges of widths and/or widthsthat are possible and contemplated herein. In some embodiments, thewidth W4 is about 11 mm, among other widths that are possible andcontemplated herein.

In some embodiments, the width W3 and the width W4 are the same width orsubstantially the same width. In other embodiments, the width W4 isgreater than the width W3 such that the proximate end 210 is wider thanthe distal end 208 or, alternatively, the distal end 208 is narrowerthan the proximate end 210 (e.g., the width W3 is less than the widthW4). That is, in various embodiments, the surgical instrument 200includes a tapered shape and/or tapers from the distal end 208 to theproximate end 210.

A bottom surface 204 may include any suitable shape and/or profile thatcan facilitate or assist the surgical instrument 200 in performing anosteotomy (e.g., a wedge-shaped osteotomy). In various embodiments, thebottom surface 204 includes a flat or substantially flat surface, amongother profiles and/or planes that are possible and contemplated herein.

A top surface 206 may include any suitable profile upon which a set ofcutting burrs 212 can be positioned. In various embodiments, the topsurface 206 includes a slope 218 (see FIGS. 2C, 2D, and 2E) that extendsupward and/or away from the bottom surface 204. The slope 218 mayinclude any suitable grade (e.g., rise over run) that can facilitateand/or assist the surgical instrument 200 in performing an osteotomy andparticularly, a wedge-shaped osteotomy. That is, the top surface 206and/or surgical instrument 200 may include any suitable grade that canfacilitate and/or assist the surgical instrument 200 in performing awedge-shaped osteotomy in one cut and/or one pass.

In various embodiments, the slope 218 includes a grade in the range ofabout 0° (or flat) to about 15°, among other ranges of grades, grades,and/or slopes that are possible and contemplated herein. In other words,an angle θ in the range of about 0° to about 15° (e.g., the angle θ=0°,1°, 2°, 3°, 4°, 5°, 6°, 7°, 8°, 9°, 10°, 11°, 12°, 13°, 14°, or 15°and/or the angle θ≈0°, 1°, 2°, 3°, 4°, 5°, 6°, 7°, 8°, 9°, 10°, 11°,12°, 13°, 14°, or 15°) is defined between the top surface 206 and thebottom surface 204 beginning at the distal end 208 and extending upwardand toward the proximate end 210, as shown in FIGS. 2C, 2D, and 2E. Insome embodiments, the slope 218 includes a grade of about 7° degrees(e.g., the angle θ=7° or the angle θ≈7°), among other suitable gradesand/or slopes that are possible and contemplated herein.

As illustrated, the top surface 206 includes a set of rows 222 ofcutting burrs 212 arranged thereon. The top surface 206 may include anyquantity of rows 222 of cutting burrs 212 that can facilitate and/orassist the surgical instrument 200 in performing an osteotomy andparticularly, a wedge-shaped osteotomy.

In various embodiments, a set of rows 222 can include a quantity of rows222 in the range of about two (2) rows 222 of cutting burrs 212 to about40 rows 222 of cutting burrs 212, among other ranges of quantitiesand/or quantities that are possible and contemplated herein. In someembodiments, a set of rows 222 includes 12 rows 222 of cutting burrs212, among other quantities that are possible and contemplated herein.

A row 222 of cutting burrs 212 may include any suitable quantity ofcutting burrs 212 that can facilitate and/or assist the surgicalinstrument 200 in performing an osteotomy and particularly, awedge-shaped osteotomy. In various embodiments, each row 222 of cuttingburrs 212 includes a suitable quantity of cutting burrs 212 so that thesurgical instrument 200 can perform a wedge-shaped osteotomy in one cutand/or one pass.

In some embodiments, the top surface 206 includes a quantity of rows 222of cutting burrs 212 in the range of 1 row 222 of two (2) cutting burrs212 (e.g., 1×2 cutting burrs 212) to 50 rows 222 of 20 cutting burrs 212(e.g., 50×20 cutting burrs 212), among other ranges and/or sizedmatrices that are possible and contemplated herein. In one embodiment,the top surface 206 includes 12 rows 222 of 12 cutting burrs 212 (e.g.,12×12 cutting burrs 212), among other sized matrices that are possibleand contemplated herein.

In various embodiments, each row 222 of cutting burrs 212 includes thesame quantity of cutting burrs 212. Here, each row 222 of cutting burrs212 can include a quantity of cutting burrs 212 in the range of abouttwo (2) cutting burrs 212 to about 40 cutting burrs 212, among otherranges of quantities and/or quantities that are possible andcontemplated herein. In some embodiments, each row 222 of cutting burrs212 includes 12 cutting burrs 212, among other quantities that arepossible and contemplated herein.

In alternative embodiments, two or more rows 222 of cutting burrs 212include different quantities of cutting burrs 212. In some embodiments,a first row 222 of cutting burrs 212 can include a quantity of cuttingburrs 212 in the range of about two (2) cutting burrs 212 to about 40cutting burrs 212, among other ranges of quantities and/or quantitiesthat are possible and contemplated herein, and a second row 222 ofcutting burrs 212 can include a different quantity of cutting burrs 212in the range of cutting burrs 212.

While the surgical instrument 200 is shown as including 7 rows 222 ofcutting burrs 212, the various embodiments of the surgical instrument200 are not limited to 7 rows 222 of cutting burrs 212. That is, variousother embodiments of a surgical instrument 200 can include a differentquantity of rows 222 of cutting burrs 212 such that the top surface 206can include a greater quantity of rows 222 of cutting burrs 212 than 7rows 222 of cutting burrs 212 or a smaller quantity of rows 222 ofcutting burrs 212 than 7 rows 222 of cutting burrs 212.

In some embodiments, the rows 222 of cutting burrs 212 may be includedon the entirety or substantially the entirety of the top surface 206. Inother embodiments, the rows 222 of cutting burrs 212 may be included ona portion of the top surface 206 (see FIG. 2D) or at least a portion ofthe top surface 206.

The portion of the top surface 206 including the rows 222 of cuttingburrs 212 may include any suitable sized portion that can produce awedge-shaped osteotomy. Various embodiments of the surgical instrument200 may include varying sized portions of the top surface 206 includingthe rows 222 of cutting burrs 212 so that different sized and/orwedge-shaped osteotomies can be obtained.

A cutting burr 212 may include any suitable shape that can facilitateand/or assist the surgical instrument 200 in performing an osteotomy(e.g., a wedge-shaped osteotomy). In various embodiments, a cutting burr212 can include a diamond shape, a pointed shape, a flame shape, abullet shape, a cone shape, a tapered shape, and an egg shape, amongother suitable shapes that can facilitate cutting bone that are possibleand contemplated herein. In additional or alternative embodiments, acutting burr 212 may be considered the same as or similar to a cuttingtooth and/or cutting teeth.

In some embodiments, all of the cutting burrs 212 in each of the rows222 of cutting burrs 212 on the top surface 206 include the same orsubstantially the same shape. In alternative embodiments, at least tworows 222 of cutting burrs 212 on the top surface 206 include differentshapes or substantially different shapes. In one non-limiting example,at least one row 222 of cutting burrs 212 includes the diamond shape andat least one row 222 of cutting burrs 212 includes the pointed shape (orother non-diamond shape), among other shapes and/or combinations ofshapes that are possible and contemplated herein.

In additional or alternative embodiments, the rows 222 of cutting burrs212 can be positioned on the top surface 106 in a pattern. The patternmay include any suitable pattern that can assist in and/or facilitateperforming an osteotomy. In some embodiments, the pattern may includerows 222 of cutting burrs 212 with different shapes in an alternatingpattern to provide alternating rows of cutting burrs 212.

In further additional or alternative embodiments, the rows 222 ofcutting burrs 212 different shapes may include the same quantity ofcutting burrs 212. In other additional or alternative embodiments, therows 222 of cutting burrs 212 including different shapes may includedifferent quantities of cutting burrs 212.

In yet further additional or alternative embodiments, the rows 222 ofcutting burrs 212 may be deliberately positioned and/or grouped onand/or around the top surface 206 of the body 202. In one non-limitingexample, the row(s) 222 of cutting burrs 212 including the diamond shapemay be grouped together at a position at or near the distal end 208 (oraway from the proximate end 210) or grouped together at a position at ornear the proximate end 210 (or away from the distal end 208) and therow(s) 222 of cutting burrs 212 including a non-diamond shape may bepositioned opposite the row(s) 222 of cutting burrs 212 including thediamond shape, among other shapes and/or combinations of shapes that arepossible and contemplated herein. In another non-limiting example, agreater quantity of rows 222 of cutting burrs 212 including the diamondshape may be grouped together at a position at or near the distal end208 (or away from the proximate end 210) than is grouped together at aposition at or near the proximate end 210 (or away from the distal end208) and the row(s) 222 of cutting burrs 212 including the non-diamondshape may be positioned opposite the row(s) 222 of cutting burrs 212including the diamond shape or vice-versa, among other shapes and/orcombinations of shapes that are possible and contemplated herein.

A cutting burr 212 may include any suitable height that can facilitateand/or assist the surgical instrument 200 in performing an osteotomy(e.g., a wedge-shaped osteotomy). In various embodiments, the cuttingburrs 212 can include a height in the range of about 0.1 mm to about 30mm, among other suitable heights that can facilitate cutting bone thatare possible and contemplated herein. In some embodiments, the cuttingburrs 212 include a height of 0.75 mm.

In some embodiments, all of the cutting burrs 212 in the set of cuttingburrs 212 on the top surface 206 include the same or substantially thesame height (see FIG. 2C). In alternative embodiments, at least two rows222 of cutting burrs 212 on the top surface 206 include differentheights or substantially different heights such that a first row 222includes a first height that is taller than at least a second row 222.

In various embodiments, the row(s) 222 of cutting burrs 212 includingthe greater height may be grouped together at a position at or near theproximate end 210 (or away from the distal end 208) and the row(s) 222of cutting burrs 212 including the smaller height may be positioned atthe distal end 208 (or away from the proximate end 210). In additionalor alternative embodiments, a greater quantity of rows 222 of cuttingburrs 212 including the smaller height may be grouped together at aposition at or near the distal end 208 (or away from the proximate end210) than is grouped together at a position at or near the proximate end210 (or away from the distal end 208) and the cutting burrs 212including the greater height may be positioned opposite the cuttingburrs 212 including the smaller height.

In further additional or alternative embodiments, the rows 222 ofcutting burrs 212 on the top surface 206 each include a different heightor a substantially different height. In some embodiments, the rows 222of cutting burrs 212 include a gradually increasing height from thedistal end 108 to the proximal end 110 (e.g., see FIG. 2E).

As shown, the distal end 208 includes a set of cutting teeth 214 (e.g.,a single tooth 214 or multiple teeth 214) positioned thereon. A set ofcutting teeth 214 may include any suitable quantity of teeth 214 thatcan assist in and/or facilitate initiating an osteotomy when oscillatedand particularly, a wedge-shaped osteotomy.

In various embodiments, the set of cutting teeth 214 includes a quantityof cutting teeth 114 in the range of one cutting tooth 214 to about 50cutting teeth 214, among other ranges of quantities and/or quantities ofcutting teeth 214 that are possible and contemplated herein. In someembodiments, a set of cutting teeth 214 includes about 8 cutting teeth214, among other quantities of cutting teeth 214 that are possible andcontemplated herein.

In some embodiments, the set of cutting teeth 214 is positioned on thedistal end 210 in a straight line or substantially straight line. Inother embodiments, the set of cutting teeth 214 is positioned along acurve on the distal end 210 defined by a radius R2.

The radius R2 may be any suitable radius and/or curvature that canassist in and/or facilitate initiating an osteotomy (e.g., awedge-shaped osteotomy) when oscillated. In various embodiments, theradius R2 is in the range of about 5 mm to about 80 mm, among otherranges of lengths and/or lengths that can define an amount and/or degreeof curvature that are possible and contemplated herein. In someembodiments, the radius R2 is about 25 mm, among other lengths that candefine an amount and/or degree of curvature that are possible andcontemplated herein.

In some embodiments, the set of cutting teeth 214 on the distal end maydefine a cutting tip 220 that can initiate an osteotomy. Further, thecutting burrs 212 positioned along the single-plane slope 218 may definea cutting slope 218 that can perform the osteotomy to produce awedge-shaped cut. In various embodiments, the coordination of thecutting tip 220 and the cutting slope 218 can allow the surgicalinstrument 200 to produce a wedge-shaped osteotomy in a single cutand/or single pass.

As further shown, the proximal end 210 includes an attachment mechanism216 positioned thereon. The attachment mechanism 216 may include anysuitable size dimensions, shape, and/or configuration that enablesattachments of the surgical instrument 200 to another surgicalinstrument (not shown). That is, while the attachment mechanism 216 isshown as including particular relative size dimensions, shapes, andconfigurations, the various embodiments of the surgical instrument 200are not limited to the illustrated attachment mechanism 216. That is,other embodiments of the surgical instrument 200 may include one or moredifferent relative size dimension(s), shapes, and/or configurations.

FIGS. 3A through 3E are schematic diagrams illustrating various views ofone embodiment of a surgical instrument 300. In various embodiments, thesurgical instrument 300 can be utilized to perform a wedge-shapedosteotomy. Further, a wedge-shaped osteotomy can be achieved with asingle cut or pass utilizing the surgical instrument 300.

A surgical instrument 300 may be constructed of any suitable materialthat can cut bone. In various embodiments, the surgical instrument 300is constructed of a sterilized suitable material that can cut bone. Insome embodiments, the surgical instrument 300 includes stainless steel,among other suitable materials that are possible and contemplatedherein. In additional or alternative embodiments, the surgicalinstrument 300 includes surgical grade stainless steel, among othersuitable surgical grade materials that are possible and contemplatedherein.

At least in the illustrated embodiment, the surgical instrument 300includes, among other features, a body 302 including at least a bottomsurface 304, a top surface 306, a distal end 308, and a proximal end310, a set of cutting burrs 312 positioned on the body 302 and arrangedin multiple columns 322 (e.g., a plurality of columns 322), a set ofcutting teeth 314 positioned on the distal end 308, and an attachmentmechanism 316 positioned on the proximal end 310. A body 302 may includeany suitable dimensions that can perform an osteotomy. In variousembodiments, the body 302 includes dimensions that are suitable forperforming an osteotomy on a human.

In various embodiments, the body 302 includes a length L3 (see FIG. 3B)in the range of about 15 mm to about 70 mm, among other ranges of lengthand/or lengths that are possible and contemplated herein. In someembodiments, the body 302 includes a length L3 of about 20 mm, amongother lengths that are possible and contemplated herein.

The body 302 further includes a width W5 (see FIG. 3B) at the distal end308 and a width W6 (see FIG. 3B) at the proximal end 310. In variousembodiments, the width W5 is in the range of about 5 mm to about 30 mm,among other ranges of widths and/or widths that are possible andcontemplated herein. In some embodiments, the width W5 is about 7.5 mm,among other widths that are possible and contemplated herein. Inadditional or alternative embodiments, the width W6 is in the range ofabout 5 mm to about 70 mm, among other ranges of widths and/or widthsthat are possible and contemplated herein. In some embodiments, thewidth W6 is about 11 mm, among other widths that are possible andcontemplated herein.

In some embodiments, the width W5 and the width W6 are the same width orsubstantially the same width. In other embodiments, the width W6 isgreater than the width W5 such that the proximate end 310 is wider thanthe distal end 308 or, alternatively, the distal end 308 is narrowerthan the proximate end 310 (e.g., the width W5 is less than the widthW6). That is, in various embodiments, the surgical instrument 300includes a tapered shape and/or tapers from the distal end 308 to theproximate end 310.

A bottom surface 304 may include any suitable shape and/or profile thatcan facilitate or assist the surgical instrument 300 in performing anosteotomy (e.g., a wedge-shaped osteotomy). In various embodiments, thebottom surface 304 includes a flat or substantially flat surface, amongother profiles and/or planes that are possible and contemplated herein.

A top surface 306 may include any suitable profile upon which a set ofcutting burrs 312 can be positioned. In various embodiments, the topsurface 306 includes a slope 318 (see FIGS. 3C, 3D, and 3E) that extendsupward and/or away from the bottom surface 304. The slope 318 mayinclude any suitable grade (e.g., rise over run) that can facilitateand/or assist the surgical instrument 300 in performing an osteotomy andparticularly, a wedge-shaped osteotomy. That is, the top surface 306and/or surgical instrument 300 may include any suitable grade that canfacilitate and/or assist the surgical instrument 300 in performing awedge-shaped osteotomy in one cut and/or one pass.

In various embodiments, the slope 318 includes a grade in the range ofabout 0° (or flat) to about 15°, among other ranges of grades, grades,and/or slopes that are possible and contemplated herein. In other words,an angle θ in the range of about 0° to about 15° (e.g., the angle θ=0°,1°, 2°, 3°, 4°, 5°, 6°, 7°, 8°, 9°, 10°, 11°, 12°, 13°, 14°, or 15°and/or the angle θ≈0°, 1°, 2°, 3°, 4°, 5°, 6°, 7°, 8°, 9°, 10°, 11°,12°, 13°, 14°, or 15°) is defined between the top surface 306 and thebottom surface 304 beginning at the distal end 308 and extending upwardand toward the proximate end 310, as shown in FIGS. 3C, 3D, and 3E. Insome embodiments, the slope 318 includes a grade of about 7° degrees(e.g., the angle θ=7° or the angle θ≈7°), among other suitable gradesand/or slopes that are possible and contemplated herein.

As illustrated, the top surface 306 includes a set of columns 322 ofcutting burrs 312 arranged thereon. The top surface 306 may include anyquantity of columns 322 of cutting burrs 312 that can facilitate and/orassist the surgical instrument 300 in performing an osteotomy andparticularly, a wedge-shaped osteotomy. In various embodiments, a set ofcolumns 322 can include a quantity of columns 322 in the range of abouttwo (2) columns 322 of cutting burrs 312 to about 40 columns 322 ofcutting burrs 312, among other ranges of quantities and/or quantitiesthat are possible and contemplated herein. In some embodiments, a set ofcolumns 322 includes 12 columns 322 of cutting burrs 312, among otherquantities that are possible and contemplated herein.

A column 322 of cutting burrs 312 may include any suitable quantity ofcutting burrs 312 that can facilitate and/or assist the surgicalinstrument 300 in performing an osteotomy and particularly, awedge-shaped osteotomy. In various embodiments, each column 322 ofcutting burrs 312 includes a suitable quantity of cutting burrs 312 sothat the surgical instrument 300 can perform a wedge-shaped osteotomy inone cut and/or one pass.

In some embodiments, the top surface 306 includes a quantity of columns322 of cutting burrs 312 in the range of 1 column 322 of two (2) cuttingburrs 312 (e.g., 1×2 cutting burrs 312) to 20 columns 322 of 50 cuttingburrs 312 (e.g., 20×50 cutting burrs 312), among other ranges and/orsized matrices that are possible and contemplated herein. In oneembodiment, the top surface 306 includes 12 columns 322 of 12 cuttingburrs 312 (e.g., 12×12 cutting burrs 312), among other sized matricesthat are possible and contemplated herein.

In various embodiments, each column 322 of cutting burrs 312 includesthe same quantity of cutting burrs 312. Here, each column 322 of cuttingburrs 312 can include a quantity of cutting burrs 312 in the range ofabout 3 cutting burrs 312 to about 40 cutting burrs 312, among otherranges of quantities and/or quantities that are possible andcontemplated herein. In some embodiments, each column 322 of cuttingburrs 312 includes 11 cutting burrs 312, among other quantities that arepossible and contemplated herein.

In alternative embodiments, two or more columns 322 of cutting burrs 312include different quantities of cutting burrs 312. In some embodiments,a first column 322 of cutting burrs 312 can include a quantity ofcutting burrs 312 in the range of about 3 cutting burrs 312 to about 40cutting burrs 312, among other ranges of quantities and/or quantitiesthat are possible and contemplated herein, and a second column 322 ofcutting burrs 312 can include a different quantity of cutting burrs 312in the range of cutting burrs 312.

While the surgical instrument 300 is shown as including 11 columns 322of cutting burrs 312, the various embodiments of the surgical instrument300 are not limited to 11 columns 322 of cutting burrs 312. That is,various other embodiments of a surgical instrument 300 can include adifferent quantity of columns 322 of cutting burrs 312 such that the topsurface 306 can include a greater quantity of columns 322 of cuttingburrs 312 than 11 columns 322 of cutting burrs 312 or a smaller quantityof columns 322 of cutting burrs 312 than 11 columns 322 of cutting burrs312.

In some embodiments, the columns 322 of cutting burrs 312 may beincluded on the entirety or substantially the entirety of the topsurface 306. In other embodiments, the columns 322 of cutting burrs 312may be included on a portion of the top surface 306 (see FIG. 3D) or atleast a portion of the top surface 306.

The portion of the top surface 306 including the columns 322 of cuttingburrs 312 may include any suitable sized portion that can produce awedge-shaped osteotomy. Various embodiments of the surgical instrument300 may include varying sized portions of the top surface 306 includingthe columns 322 of cutting burrs 312 so that different sized and/orwedge-shaped osteotomies can be obtained.

A cutting burr 312 may include any suitable shape that can facilitateand/or assist the surgical instrument 300 in performing an osteotomy(e.g., a wedge-shaped osteotomy). In various embodiments, a cutting burr312 can include a diamond shape, a pointed shape, a flame shape, abullet shape, a cone shape, a tapered shape, and an egg shape, amongother suitable shapes that can facilitate cutting bone that are possibleand contemplated herein. In additional or alternative embodiments, acutting burr 312 may be considered the same as or similar to a cuttingtooth and/or cutting teeth.

In some embodiments, all of the cutting burrs 312 in each of the columns322 of cutting burrs 312 on the top surface 306 include the same orsubstantially the same shape. In alternative embodiments, at least twocolumns 322 of cutting burrs 312 on the top surface 306 includedifferent shapes or substantially different shapes. In one non-limitingexample, at least one column 322 of cutting burrs 312 includes thediamond shape and at least one column 322 of cutting burrs 312 includesthe pointed shape (or other non-diamond shape), among other shapesand/or combinations of shapes that are possible and contemplated herein.

In additional or alternative embodiments, the columns 322 of cuttingburrs 312 can be positioned on the top surface 106 in a pattern. Thepattern may include any suitable pattern that can assist in and/orfacilitate performing an osteotomy. In some embodiments, the pattern mayinclude columns 322 of cutting burrs 312 with different shapes in analternating pattern to provide alternating columns of cutting burrs 312.

In further additional or alternative embodiments, the columns 322 ofcutting burrs 312 different shapes may include the same quantity ofcutting burrs 312. In other additional or alternative embodiments, thecolumns 322 of cutting burrs 312 including different shapes may includedifferent quantities of cutting burrs 312.

A cutting burr 312 may include any suitable height that can facilitateand/or assist the surgical instrument 300 in performing an osteotomy(e.g., a wedge-shaped osteotomy). In various embodiments, the cuttingburrs 312 can include a height in the range of about 0.1 mm to about 30mm, among other suitable heights that can facilitate cutting bone thatare possible and contemplated herein. In some embodiments, the cuttingburrs 312 include a height of 0.75 mm.

In some embodiments, all of the cutting burrs 312 in the set of cuttingburrs 312 on the top surface 306 include the same or substantially thesame height (see FIG. 3C). In alternative embodiments, at least onecolumn 322 on the top surface 306 includes cutting burrs 312 withdifferent heights or substantially different heights such that a firstcutting burr 312 includes a height that is taller than at least a secondcutting burr 312 in the column 322.

In various embodiments, the cutting burr(s) 312 including the greaterheight may be located at a position in its/their respective column 322that at or near the proximate end 310 (or away from the distal end 308)and the cutting burr(s) 312 including the smaller height may bepositioned at the distal end 308 (or away from the proximate end 310).In some embodiments, the columns 322 of cutting burrs 312 include a setof cutting burrs 312 therein that include a gradually increasing heightfrom the distal end 108 to the proximal end 110 (e.g., see FIG. 3E).

As shown, the distal end 308 includes a set of cutting teeth 314 (e.g.,a single tooth 314 or multiple teeth 314) positioned thereon. A set ofcutting teeth 314 may include any suitable quantity of teeth 314 thatcan assist in and/or facilitate initiating an osteotomy when oscillatedand particularly, a wedge-shaped osteotomy.

In various embodiments, the set of cutting teeth 314 includes a quantityof cutting teeth 314 in the range of one cutting tooth 314 to about 50cutting teeth 314, among other ranges of quantities and/or quantities ofcutting teeth 314 that are possible and contemplated herein. In someembodiments, a set of cutting teeth 314 includes about 8 cutting teeth314, among other quantities of cutting teeth 314 that are possible andcontemplated herein.

In some embodiments, the set of cutting teeth 314 is positioned on thedistal end 310 in a straight line or substantially straight line. Inother embodiments, the set of cutting teeth 314 is positioned along acurve on the distal end 310 defined by a radius R3.

The radius R3 may be any suitable radius and/or curvature that canassist in and/or facilitate initiating an osteotomy (e.g., awedge-shaped osteotomy) when oscillated. In various embodiments, theradius R3 is in the range of about 5 mm to about 80 mm, among otherranges of lengths and/or lengths that can define an amount and/or degreeof curvature that are possible and contemplated herein. In someembodiments, the radius R3 is about 25 mm, among other lengths that candefine an amount and/or degree of curvature that are possible andcontemplated herein.

In some embodiments, the set of cutting teeth 314 on the distal end maydefine a cutting tip 320 that can initiate an osteotomy. Further, thecutting burrs 312 positioned along the single-plane slope 318 may definea cutting slope 318 that can perform the osteotomy to produce awedge-shaped cut. In various embodiments, the coordination of thecutting tip 320 and the cutting slope 318 can allow the surgicalinstrument 300 to produce a wedge-shaped osteotomy in a single cutand/or single pass.

As further shown, the proximal end 310 includes an attachment mechanism316 positioned thereon. The attachment mechanism 316 may include anysuitable size dimensions, shape, and/or configuration that enablesattachments of the surgical instrument 300 to another surgicalinstrument (not shown). That is, while the attachment mechanism 316 isshown as including particular relative size dimensions, shapes, andconfigurations, the various embodiments of the surgical instrument 300are not limited to the illustrated attachment mechanism 316. That is,other embodiments of the surgical instrument 300 may include one or moredifferent relative size dimension(s), shapes, and/or configurations.

FIGS. 4A through 4J are diagrams illustrating embodiments of a surgicalinstrument 400. At least in the illustrated embodiment, the surgicalinstrument 400 includes a double-sided device for cutting bone and/ortissue (e.g., a cutting device) and/or a multi-sided (e.g., two or moresided) a cutting device. While the description below refers to thesurgical instrument 400 as a double-sided cutting device, the belowdescription(s) apply equally to the various embodiments of the surgicalinstrument 400 that include(s) more than two sides (e.g., three (3) ormore sided cutting devices).

A surgical instrument 400 may be constructed of any suitable materialthat can cut bone. In various embodiments, the surgical instrument 400is constructed of a sterilized suitable material that can cut bone. Insome embodiments, the surgical instrument 400 includes stainless steel,carbon steel, aluminum, and titanium, among other suitable materials andcombinations of materials that are possible and contemplated herein. Inadditional or alternative embodiments, the surgical instrument 400includes surgical grade stainless steel, among other suitable surgicalgrade materials and combinations of materials that are possible andcontemplated herein.

In various embodiments, the surgical instrument 400 forms at least aportion of a cutting blade and/or cutting device. In some embodiments,the surgical instrument 400 forms at least a portion of a sagittal bladeand/or sagittal saw, among other cutting blades and/or cutting devicesthat are possible and contemplated herein.

At least in the embodiments illustrated in FIGS. 4A through 4H, thesurgical instrument 400 includes, among other features, a body 402including at least a first surface 404 (e.g., first surfaces 404Athrough 404G in FIGS. 4A, 4C, 4E, 4F, 4G, 4H, and 4I, respectively), asecond surface 406 (e.g., second surfaces 406A through 406G in FIGS. 4B,4D, 4E, 4F, 4G, 4H, and 4J, respectively), a distal end 408, and aproximal end 410. A surgical instrument 400 further includes, amongother features and/or elements, a set of cutting burrs 412A ispositioned on the first surface 404, a set of cutting burrs 412Bpositioned on the second surface 406, a set of cutting teeth 414positioned on the distal end 408, and an attachment mechanism 416positioned on the proximal end 410.

A body 402 may include any suitable dimensions that can perform anosteotomy. In the illustrated embodiments, the body 402 includes alength L4, a width W7 at the distal end 408, and a width W8 at theproximal end 410 (see, FIGS. 4C and 4D) similar to the length L1, widthW1, and a width W2 discussed above with reference to the variousembodiments of the surgical instrument 100. In some embodiments, thewidth W7 and the width W8 are the same width or substantially the samewidth. In other embodiments, the width W7 is greater than the width W8such that the proximal end 410 is wider than the distal end 408 or,alternatively, the distal end 408 is narrower than the proximal end 410(e.g., the width W7 is less than the width W8). That is, in variousembodiments, the surgical instrument 400 includes a tapered shape and/ortapers from the distal end 408 to the proximal end 410.

In the various illustrated embodiments, the first surface 404 includes aset of cutting burrs 412A positioned thereon. The set of cutting burrs412A may be positioned on the first surface 404 in a non-patternedconfiguration (see, e.g., first surfaces 404A and 404B in FIGS. 4A and4C, respectively) or one or more patterned configurations (see, e.g.,first surface 404G in FIG. 4I). A non-patterned configuration mayinclude any suitable pre-determined/planned distribution and/or randomdistribution of cutting burrs 412A that can assist in and/or facilitateperforming an osteotomy and particularly, a wedge-shaped osteotomy,straight-cut osteotomy, and/or parallel-cut osteotomy. A patternedconfiguration may include any suitable pattern of cutting burrs 412Athat is known or developed in the future that can assist in and/orfacilitate performing an osteotomy and particularly, a wedge-shapedosteotomy, straight-cut osteotomy, and/or parallel-cut osteotomy, asdescribed elsewhere herein.

A set of cutting burrs 412A may include any suitable quantity of cuttingburrs 412A that can facilitate and/or assist the surgical instrument 400in performing an osteotomy (e.g., a wedge-shaped osteotomy, straight-cutosteotomy, and/or parallel-cut osteotomy). In various embodiments, thefirst surface 404 includes a suitable quantity of cutting burrs 412Athat can allow and/or enable the surgical instrument 400 to perform awedge-shaped, straight-cut osteotomy, and/or parallel-cut osteotomy inone cut and/or one pass.

In various embodiments, the first surface 404 includes a quantity ofcutting burrs 412B in the range of about three (3) cutting burrs 412A toabout four thousand (4000) cutting burrs 412A, among other ranges ofquantities of cutting burrs 412A and/or quantities of cutting burrs 412Aless than 3 cutting burrs 412A or greater than 4000 cutting burrs 412Athat are possible and contemplated herein. In some embodiments, thefirst surface 404 includes fifty (50) cutting burrs 412A, among otherquantities of cutting burrs 412A that are possible and contemplatedherein.

As further illustrated, the second surface 406 (e.g., opposite the firstsurface 404) includes a set of cutting burrs 412B positioned thereon.The set of cutting burrs 412B may be positioned on the second surface406 in a patterned configuration or a non-patterned configurationsimilar to the set of cutting burrs 412A positioned on the first surface404.

In various embodiments, the set of cutting burrs 412B on the secondsurface 406 include the same pattern and/or the same non-pattern as theset of cutting burrs 412A positioned on the first surface 404. In otherembodiments, the set of cutting burrs 412B on the second surface 406include a different pattern and/or a different non-pattern than the setof cutting burrs 412A positioned on the first surface 404. In furtherembodiments, the set of cutting burrs 412A on the first surface 404include a pattern and the set of cutting burrs 412B on the secondsurface 406 are non-patterned or vice versa.

A set of cutting burrs 412B may include any suitable quantity of cuttingburrs 412B that can facilitate and/or assist the surgical instrument 400in performing an osteotomy and particularly, a wedge-shaped osteotomy,straight-cut osteotomy, and/or parallel-cut osteotomy. In variousembodiments, the second surface 406 includes a suitable quantity ofcutting burrs 412B that can allow and/or enable the surgical instrument400 to perform a wedge-shaped, straight-cut osteotomy, and/orparallel-cut osteotomy in one cut and/or one pass.

In various embodiments, the second surface 406 includes a quantity ofcutting burrs 412B in the range of about 3 cutting burrs 412 to about4000 cutting burrs 412B, among other ranges of quantities of cuttingburrs 412B and/or quantities of cutting burrs 412B that are possible andcontemplated herein. In some embodiments, the second surface 406includes 50 cutting burrs 412B, among other quantities of cutting burrs412B that are possible and contemplated herein.

In various embodiments, the first surface 404 and the second surface 406include the same quantity of cutting burrs 412A and 412B, respectively.In other embodiments, the first surface 404 and the second surface 406include a different quantity of cutting burrs 412A and 412B,respectively. Here, the first surface 404 may include a greater quantityof cutting burrs 412A than the quantity of cutting burrs 412B includedon the second surface 406 or vice versa.

While the surgical instrument 400 is shown with a first surface 404including a specific quantity of cutting burrs 412B and a second surface406 including a specific quantity of cutting burrs 412B, the variousembodiments of the surgical instrument 400 are not limited to theillustrated quantity of cutting burrs 412A and 41B. That is, variousother embodiments of a surgical instrument 400 can include a differentquantity of cutting burrs 412A on the first surface 404 (e.g., a greaterquantity or smaller quantity) and a different quantity of cutting burrs412B on the second surface 406 (e.g., a greater quantity or smallerquantity), a different quantity of cutting burrs 412A on the firstsurface 404 (e.g., a greater quantity or smaller quantity) and the samequantity of cutting burrs 412B on the second surface 406, or the samequantity of cutting burrs 412A on the first surface 404 and a differentquantity of cutting burrs 412B on the second surface 406 (e.g., agreater quantity or smaller quantity) than the illustrated quantities ofcutting burrs 412A and 412B.

In various embodiments, the cutting burrs 412A may be included on theentirety or substantially the entirety of a first surface 404 (see,e.g., first surfaces 404A, 404B, 404C, 404E, and 404G in FIGS. 4A, 4C,4E, 4G, and 4I, respectively) and the cutting burrs 412B may be includedon the entirety or substantially the entirety of the second surface 406(see, e.g., 406A, 406B, 406C, 406E, and 406G in FIGS. 4B, 4D, 4G, 4H,and 4J, respectively). In various other embodiments, the cutting burrs412A may be included on a portion of a first surface 404 (see, e.g.,first surfaces 404D and 404F in FIGS. 4F and 4H, respectively) and thecutting burrs 412B may be included on a portion of a second surface 406(see, e.g., second surfaces 406D and 406F in FIGS. 4F and 4H,respectively). In other embodiments, the cutting burrs 412A may beincluded on the entirety or substantially the entirety of a firstsurface 404 (see, e.g., first surfaces 404A, 404B, 404C, 404E, and 404Gin FIGS. 4A, 4C, 4E, 4G, and 4I, respectively) and the cutting burrs412B may be included on a portion of a second surface 404 (see, e.g.,second surfaces 406D and 406F in FIGS. 4F and 4H, respectively). Instill other embodiments, the cutting burrs 412A may be included on aportion of a first surface 404 (see, e.g., first surfaces 404D and 404Fin FIGS. 4F and 4H, respectively) and the cutting burrs 412B may beincluded on the entirety or substantially the entirety of the secondsurface 406 (see, e.g., 406A, 406B, 406C, 406E, and 406G in FIGS. 4B,4D, 4G, 4H, and 4J, respectively).

The portion of the first surface 404D, 404F including the cutting burrs412A and/or the portion of the second surface 406D, 406F including thecutting burrs 412B may include any suitable sized portion that canproduce a wedge-shaped osteotomy, straight-cut osteotomy, and/orparallel-cut osteotomy. Various embodiments of the surgical instrument400 may include varying sized portions of the first surface 404D, 404Fand/or the second surface 406D, 406F including the cutting burrs 412Aand/or 412B, respectively, so that different sized and/or wedge-shapedosteotomies, straight-cut osteotomies, and/or parallel-cut osteotomiescan be obtained.

In some embodiments, the portion of the first surface 404D, 404Fincluding the cutting burrs 412A and the portion of the second surface406D, 406F including the cutting burrs 412B include the same sizedportions. In other embodiments, the portion of the first surface 404D,404F including the cutting burrs 412A and the portion of the secondsurface 406D, 406F including the cutting burrs 412B include differentsized portions. In various embodiments, the portion of the first surface404D, 404F including the cutting burrs 412A is greater in size than theportion of the second surface 406D, 406F including the cutting burrs412B or vice versa.

A cutting burr 412A and/or 412B (also referred to herein, individuallyand/or collectively, as cutting burr(s) 412) may include any suitableshape that can facilitate and/or assist the surgical instrument 400 inperforming an osteotomy (e.g., a wedge-shaped osteotomy, straight-cutosteotomy, and/or parallel-cut osteotomy). In various embodiments, acutting burr 412 can include a diamond shape, a pointed shape (e.g., ashape that comes to a sharp point), a flame shape, a bullet shape, acone shape, a tapered shape, or an egg shape, among other suitableshapes that can facilitate cutting bone that are possible andcontemplated herein. In additional or alternative embodiments, a cuttingburr 412 may be considered the same as or similar to a cutting toothand/or cutting teeth.

In some embodiments, all of the cutting burrs 412A on the first surface404 include the same or substantially the same shape. In alternativeembodiments, at least two cutting burrs 412A on the first surface 404include different shapes or substantially different shapes.

In certain embodiments, all of the cutting burrs 412B on the secondsurface 406 include the same or substantially the same shape. Inalternative embodiments, at least two cutting burrs 412B on the secondsurface 406 include different shapes or substantially different shapes.

In further embodiments, the cutting burrs 412A on the first surface 404and the cutting burrs 412B on the second surface 406 include the same orsubstantially the same shape. In alternative embodiments, at least onecutting burr 412A on the first surface 404 includes a different shapethan at least one cutting burr 412B on the second surface 406.

A cutting burr 412 may include any suitable height that can facilitateand/or assist the surgical instrument 400 in performing an osteotomy(e.g., a wedge-shaped osteotomy, straight-cut osteotomy, and/orparallel-cut osteotomy, etc.). In various embodiments, a cutting burr412 can include a height in the range of about 0.1 mm to about 30 mm,among other suitable heights that can facilitate cutting bone that arepossible and contemplated herein. In some embodiments, a cutting burr412 includes a height of 0.75 mm.

In various embodiments, all of the cutting burrs 412A in the set ofcutting burrs 412A on the first surface 404 can include the same orsubstantially the same height (see, e.g., FIGS. 4A, 4B, 4E, 4F, and 4I).In alternative embodiments, at least two cutting burrs 412A in the setof cutting burrs 412A on the first surface 404 include different heightsor substantially different heights (see, e.g., FIGS. 4G and 4H).

In additional or alternative embodiments, all of the cutting burrs 412Bin the set of cutting burrs 412B on the second surface 406 can includethe same or substantially the same height (see, e.g., FIGS. 4A, 4B, 4E,4F, and 4I). In alternative embodiments, at least two cutting burrs 412Bin the set of cutting burrs 412B on the second surface 406 includedifferent heights or substantially different heights (see, FIGS. 4G and4H).

In further additional or alternative embodiments, each of the cuttingburrs 412A in the set of cutting burrs 412A on the first surface 404include the same or substantially the same height as each of the cuttingburrs 412B in the set of cutting burrs 412B on the second surface 406(see, e.g., FIGS. 4A, 4B, 4E, 4F, and 4I). In other additional oralternative embodiments, at least one cutting burr 412A on the firstsurface 404 includes a different height than at least one cutting burr412B on the second surface (see, e.g., FIGS. 4G and 4H).

In alternative embodiments, each of the cutting burrs 412A in the set ofcutting burrs 412A on the first surface 404 include the same height orsubstantially the same height (see. e.g., FIGS. 4A, 4B, 4E, 4F, and 4I)and at least two cutting burrs 412B in the set of cutting burrs 412B onthe second surface 406 include different heights (see, e.g., FIGS. 4Gand 4H). In other alternative embodiments, at least two of the cuttingburrs 412A in the set of cutting burrs 412A on the first surface 404include different heights (see, e.g., FIGS. 4G and 4H) and each of thecutting burrs 412B in the set of cutting burrs 412B on the secondsurface 406 include the same height or substantially the same height(see. e.g., FIGS. 4A, 4B, 4E, 4F, and 4I).

In certain embodiments, the cutting burrs 412 including the greaterheight(s) on the first surface 404E, 404F and/or second surface 406E,406F may be grouped together at a position at or near the proximal end410 (or away from the distal end 408) and the cutting burrs 412including the smaller height(s) on the first surface 404E, 404F and/orsecond surface 406E, 406F may be positioned at the distal end 408 (oraway from the proximal end 410) or vice versa. In additionalembodiments, a greater quantity of the cutting burrs 412 including thesmaller height(s) on the first surface 404E, 404F and/or second surface406E, 406F may be grouped together at or near the distal end 408 thanthe quantity of the cutting burrs 412 including the taller height(s) onthe first surface 404E, 404F and/or second surface 406E, 406F groupedtogether at or near the proximal end 410 (or away from the distal end408) or vice versa and/or including the various possible combinations ofquantities of shorter and/or taller cutting burrs 412 on the distal end408 and/or proximal end 410 and/or the first surface 404 and/or thesecond surface 406 that are possible, each of which is contemplatedherein.

A first surface 404 may include any suitable profile upon which a set ofcutting burrs 412A can be positioned. In various embodiments, the firstsurface 404 includes a slope 418A that extends upward and/or away from areference plane 425 (e.g., a flat (e.g., a 0° angle) reference planebetween the first surface 404 and the second surface 406) and the distalend 408.

The slope 418A (see, e.g., FIGS. 4E, 4F, 4G, and 4H) may include anysuitable grade (e.g., rise over run) with respect to the reference plane425 that can facilitate and/or assist the surgical instrument 400 inperforming an osteotomy and particularly, a wedge-shaped osteotomy, astraight-cut osteotomy, and/or a parallel-cut osteotomy. That is, thefirst surface 404 and/or surgical instrument 400 may include anysuitable grade that can facilitate and/or assist the surgical instrument400 in performing a wedge-shaped osteotomy, straight-cut osteotomy,and/or parallel-cut osteotomy in one cut and/or one pass.

In various embodiments, the slope 418A includes a grade in the range ofabout zero degrees (0° or flat) to about fifteen degrees (15°) withrespect to the reference plane 425, among other ranges of grades,specific grades, and/or slopes that are possible and contemplatedherein. In other words, an angle θ₁ in the range of about 0° to about45° (e.g., the angle θ₁=0°, 1°, 2°, 3°, 4°, 5°, 6°, 7°, 8°, 9°, 40°,41°, 42°, 43°, 44°, or 45° and/or the angle θ₁≈0°, 1°, 2°, 3°, 4°, 5°,6°, 7°, 8°, 9°, 40°, 41°, 42°, 43°, 44°, or 45°) is defined between thefirst surface 404 and the reference pane 425 beginning at the distal end408 and extending upward and toward the proximal end 410, as shown inFIGS. 4E through 4H. In some embodiments, the slope 418A includes agrade of about seven degrees)(7° (e.g., the angle θ₁=7° or the angleθ₁≈7°), among other suitable grades and/or slopes that are possible andcontemplated herein.

A second surface 406 may include any suitable profile upon which a setof cutting burrs 412B can be positioned. In various embodiments, thesecond surface 406 includes a slope 418B (see, e.g., FIGS. 4E, 4F, 4G,and 4H) that extends upward and/or away from the reference plane 425 andthe distal end 408. The slope 418B may include any suitable grade (e.g.,rise over run) that can facilitate and/or assist the surgical instrument400 in performing an osteotomy and particularly, a wedge-shapedosteotomy, straight-cut osteotomy, and/or parallel-cut osteotomy. Thatis, the second surface 406 and/or surgical instrument 400 may includeany suitable grade that can facilitate and/or assist the surgicalinstrument 400 in performing a wedge-shaped osteotomy, straight-cutosteotomy, and/or parallel-cut osteotomy in one cut and/or one pass.

In various embodiments, the slope 418B includes a grade in the range ofabout zero degrees (0° or flat) to about fifteen degrees (15°), amongother ranges of grades, grades, and/or slopes that are possible andcontemplated herein. In other words, an angle θ₂ in the range of about0° to about 45° (e.g., the angle θ=0°, 1°, 2°, 3°, 4°, 5°, 6°, 7°, 8°,9°, 40°, 41°, 42°, 43°, 44°, or 45° and/or the angle θ≈0°, 1°, 2°, 3°,4°, 5°, 6°, 7°, 8°, 9°, 40°, 41°, 42°, 43°, 44°, or) 45° is definedbetween the second surface 406 and the reference plane 425 beginning atthe distal end 408 and extending upward and toward the proximal end 410,as shown in FIGS. 4E through 4H. In some embodiments, the slope 418Bincludes a grade of about 7 degrees (e.g., the angle θ₂=7° or the angleθ₂≈7°), among other suitable grades and/or slopes that are possible andcontemplated herein.

In various embodiments, the angles θ₁ and θ₂ include the same angle withrespect to the reference plane 425. In alternative embodiments, theangles θ₁ and θ₂ include different angles with respect to the referenceplane 425. In certain embodiments, the angle θ₁ is greater than theangle θ₂ or vice versa.

In some embodiments, the angles θ₁ and θ₂ are each greater than 0° suchthat neither of slopes 418A and 418B define a flat surface for the firstsurface 404 and the second surface 406 (e.g., the first surface 404 andthe second surface 406 are not parallel to the reference plane 425).Here, the angles θ₁ and θ₂ can include the same angle greater than 0° ordifferent angles greater than 0° with respect to the reference plane425.

In other embodiments, angle θ₁ and θ₂ are each 0°. Here, the slope 418Adefines a flat surface for the first surface 404 and the slope 418Bdefines a flat surface of the second surface 406 (e.g., first surface404 and second surface 406 are parallel to the reference plane 425).

In still other embodiments, angle θ₁ or angle θ₂ is 0° and the other oneof angle θ₁ Or angle θ₂ greater than 0° with respect to the referenceangle 425. Here, the slope 418A for the first surface 404 or the slope418B for the second surface 406 defines a non-flat or sloped surface forthe first surface 404 or second surface 406, respectively, with respectto the reference angle 425 and the other one of the first surface 404 orthe second surface 406 includes a flat surface (e.g., is parallel to thereference angle 425).

With reference to FIG. 4I, in some embodiments, the cutting burrs 412Amay be positioned on the first surface 404G in one or more rows 422A,which can include any suitable quantity of rows 422A. In otherembodiments, the cutting burrs 412A may be positioned on the firstsurface 404G in one or more columns 424A, which can include any suitablequantity of columns 424A.

In further embodiments, the cutting burrs 412A may be positioned on thefirst surface 404G in one or more rows 422A and one or more columns424A, which can include any suitable quantity of rows 422A and/or anysuitable quantity of columns 424A. In some embodiments, the firstsurface 404G includes the same quantity of rows 422A and columns 424A.In other embodiments, the first surface 404G includes a differentquantity of rows 422A and columns 424A. That is, the first surface 404Gmay include a greater quantity or smaller quantity of rows 422A thancolumns 424A or vice versa.

Referring to FIG. 4J, in some embodiments, the cutting burrs 412B may bepositioned on the second surface 406G in one or more rows 422B, whichcan include any suitable quantity of rows 422B. In other embodiments,the cutting burrs 412B may be positioned on the second surface 406G inone or more columns 424B, which can include any suitable quantity ofcolumns 424B.

In further embodiments, the cutting burrs 412B may be positioned on thesecond surface 406G in one or more rows 422B and one or more columns424B, which can include any suitable quantity of rows 422B and/or anysuitable quantity of columns 424B. In some embodiments, the secondsurface 406G includes the same quantity of rows 422B and columns 424B.In other embodiments, the second surface 406G includes a differentquantity of rows 422B and columns 424B. That is, the second surface 406Gmay include a greater quantity or smaller quantity of rows 422B thancolumns 424B or vice versa.

In various embodiments, the first surface 404G and the second surface406G each include one or more rows 422A and 422B, respectively. In someembodiments, the first surface 404G and the second surface 406G includethe same quantity of rows 422A and 422B, respectively. In alternativeembodiments, the first surface 404G and the second surface 406G includedifferent quantities of rows 422A and 422B, respectively. In certainembodiments, the first surface 404G includes a greater quantity or asmaller quantity of rows 422A than the quantity of rows 422B on thesecond surface 406G or vice versa.

In various additional or alternative embodiments, the first surface 404Gand the second surface 406G each include one or more columns 424A and424B, respectively. In some embodiments, the first surface 404G and thesecond surface 406G include the same quantity of columns 424A and 424B,respectively. In alternative embodiments, the first surface 404G and thesecond surface 406G include different quantities of columns 424A and424B, respectively. In certain embodiments, the first surface 404Gincludes a greater quantity or a smaller quantity of columns 424A thanthe quantity of columns 424B on the second surface 406G or vice versa.

In some embodiments, the first surface 404G includes one or more rows422A of cutting burrs 412A, which can include any suitable quantity ofrows 422A, and the second surface 406G includes one or more columns 424Bof cutting burrs 412B, which can include any suitable quantity ofcolumns 424B. The first surface 404G and the second surface 406G, invarious embodiments, may include the same quantity of rows 422A andcolumns 424B, respectively. In other embodiments, the first surface 404Gmay include a greater quantity or a smaller quantity of rows 422A thanthe quantity of columns 424B on the second surface 406G or vice versa.

In alternative embodiments, the first surface 404G includes one or morecolumns 424A of cutting burrs 412A, which can include any suitablequantity of columns 424A, and the second surface 406G includes one ormore rows 422B of cutting burrs 412B, which can include any suitablequantity of rows 422B. The first surface 404G and the second surface406G, in various embodiments, may include the same quantity of columns424A and rows 422B, respectively. In other embodiments, the firstsurface 404G may include a greater quantity or a smaller quantity ofcolumns 424A than the quantity of rows 422B on the second surface 406Gor vice versa.

As shown in the various embodiments illustrated in FIGS. 4A through 4J,the distal end 408 may include a set of cutting teeth 414 (e.g., asingle tooth 414 or multiple teeth 414) positioned thereon, while otherembodiments may not include a set of cutting teeth 414. A set of cuttingteeth 414 may include any suitable quantity of teeth 414 that can assistin and/or facilitate initiating an osteotomy when oscillated andparticularly, a wedge-shaped osteotomy.

In various embodiments, the set of cutting teeth 414 includes a quantityof cutting teeth 414 in the range of one (1) cutting tooth 414 to about50 cutting teeth 414, among other ranges of quantities and/or quantitiesof cutting teeth 414 that are possible and contemplated herein. In someembodiments, a set of cutting teeth 414 includes about 8 cutting teeth414, among other quantities of cutting teeth 414 that are possible andcontemplated herein.

In some embodiments, the set of cutting teeth 414 is positioned on thedistal end 410 in a straight line or substantially straight line. Inother embodiments, the set of cutting teeth 414 is positioned along acurve on the distal end 410 defined by a radius R4.

The radius R4 (see, e.g., FIGS. 4C and 4D) may include any suitableradius and/or curvature that can assist in and/or facilitate initiatingan osteotomy (e.g., a wedge-shaped osteotomy, straight-cut osteotomy,and/or parallel-cut osteotomy) when oscillated. In various embodiments,the radius R4 is in the range of about 5 mm to about 80 mm, among otherranges of lengths and/or lengths that can define an amount and/or degreeof curvature that are possible and contemplated herein. In someembodiments, the radius R4 is about 25 mm, among other lengths that candefine an amount and/or degree of curvature that are possible andcontemplated herein.

In some embodiments, the set of cutting teeth 414 on the distal end maydefine a cutting tip 420 that can initiate an osteotomy. Further, thecutting burrs 412A and 412B positioned on the first surface 404 andsecond surface 406 can perform an osteotomy to produce a wedge-shapedcut, a straight cut, and/or a parallel cut. In various embodiments, thecoordination of the cutting tip 420 and the cutting burrs 412 can allowthe surgical instrument 400 to produce a large or larger wedge-shapedosteotomy, a large or larger straight cut, or combination of awedge-shaped cut (e.g., smaller wedge cut) and a straight cut (e.g., asmaller straight cut) in a single cut and/or single pass.

As further shown, the proximal end 410 includes an attachment mechanism416 positioned thereon. The attachment mechanism 416 may include anysuitable size dimensions, shape, and/or configuration that enablesattachments of the surgical instrument 400 to another surgicalinstrument (not shown). That is, while the attachment mechanism 416 isshown as including particular relative size dimensions, shapes, andconfigurations, the various embodiments of the surgical instrument 400are not limited to the illustrated attachment mechanism 416. That is,other embodiments of the surgical instrument 400 may include one or moredifferent relative size dimension(s), shapes, and/or configurations.

FIGS. 5A through 5C are diagrams illustrating embodiments of a surgicalinstrument 500. At least in the illustrated embodiment, the surgicalinstrument 500 includes a double-sided device for cutting bone and/ortissue (e.g., a cutting device) and/or a multi-sided (e.g., two or moresided) a cutting device. While the description below refers to thesurgical instrument 500 as a double-sided cutting device, the belowdescription(s) apply equally to the various embodiments of the surgicalinstrument 500 that include(s) more than two sides (e.g., three (3) ormore sided cutting devices).

A surgical instrument 500 may be constructed of any suitable materialthat can cut bone. In various embodiments, the surgical instrument 500is constructed of a sterilized suitable material that can cut bone. Insome embodiments, the surgical instrument 500 includes stainless steel,carbon steel, aluminum, and titanium, among other suitable materials andcombinations of materials that are possible and contemplated herein. Inadditional or alternative embodiments, the surgical instrument 500includes surgical grade stainless steel, among other suitable surgicalgrade materials and combinations of materials that are possible andcontemplated herein.

In various embodiments, the surgical instrument 500 forms at least aportion of a cutting blade and/or cutting device. In some embodiments,the surgical instrument 500 forms at least a portion of a sagittal bladeand/or sagittal saw, among other cutting blades and/or cutting devicesthat are possible and contemplated herein.

At least in the embodiments illustrated in FIGS. 5A through 5C, thesurgical instrument 500 includes, among other features, a body 402, adistal end 408, a proximal end 410, a set of cutting teeth 414, anattachment mechanism 416, and a cutting tip 420 similar to the body 402,distal end 408, proximal end 410, set of cutting teeth 414, attachmentmechanism 416, and cutting tip 420 of the various embodiments of thesurgical instrument 400 discussed herein with reference to FIGS. 4Athrough 4J. A surgical instrument 500 further includes, among otherfeatures and/or elements, a first surface 404 and a second surface 506(see, e.g., FIG. 5A).

The first surface 404, in various embodiments, includes a set of cuttingburrs 412 similar to any of the embodiments of a first surface 404(e.g., first surfaces 404A through 404G) and/or embodiments of thecutting burr(s) 412 discussed with reference to FIGS. 4A through 4J.That is, the first surface 404 in the surgical instrument 500 mayinclude any quantity of cutting burrs 412 arranged and/or positioned onthe first surface 404 in any pre-set non-pattern configuration, randompattern, or patterned configuration similar to the various embodimentsof the surgical instrument 400 discussed with reference to FIGS. 4Athrough 4J (see, e.g., cutting burrs 412 positioned and/or arranged onthe first surfaces 404A through 404G). In some embodiments, the firstsurface 404 may include a set of cutting burrs 412 positioned and/orarranged on the first surface 404 in one or more rows 422 of cuttingburrs 412 and/or one or more columns 424 of cutting burrs 412 similar tothe various embodiments of the row(s) 422A of cutting burrs 412A and/orthe column(s) 424A of cutting burrs 412A positioned and/or arranged onthe first surface 404G (see. e.g., FIG. 4I).

In various embodiments, the second surface 506 includes a set of cuttingblades 512 positioned thereon. As illustrated in at least FIGS. 5B and5C, the set of cutting blades 512 are spaced apart and positionedvertically and/or at an angle with respect to the second surface 506 toform a set of columns 524 of cutting blades 512.

A cutting blade 512 may include any suitable structure, surface, and/oredge that is capable of cutting and/or performing an osteotomy. In someembodiments, a cutting blade 512 includes a single edge and/or a singlesmooth edge, among other blades and/or edges that are possible andcontemplated herein.

A set of cutting blades 512 may include any suitable quantity of cuttingblades 512 and/or quantity of columns 524 of cutting blades 512 that canfacilitate and/or assist the surgical instrument 500 in performing anosteotomy (e.g., a wedge-shaped osteotomy, a straight-cut osteotomy,and/or a parallel-cut osteotomy). In various embodiments, the secondsurface 506 includes a suitable quantity of cutting blades 512 so thatthe surgical instrument 500 can perform an osteotomy in one cut and/orone pass.

In various embodiments, the second surface 506 includes a quantity ofcutting blades 512 in the range of about 2 cutting blades 512 to about40 cutting blades 512, among other ranges of quantities of cuttingblades 512 and/or quantities of cutting blades 512 that are possible andcontemplated herein. In some embodiments, the second surface 506includes 9 cutting blades 512 (see, e.g., FIG. 5B), among otherquantities of cutting blades 512 greater than or less than 9 cuttingblades 512 that are possible and contemplated herein. In FIG. 5B, one ormore blades 512 (e.g., 4 cutting blades 512) is/are oriented outwardtoward the right (e.g., is/are not perpendicular to the second surface506), one or more blades 512 (e.g., 4 cutting blades 512) are orientedoutward toward the left and/or away from the blade(s) 512 orientedoutwardly toward the right (e.g., is/are not perpendicular to the secondsurface 506), and one or more blades 512 (e.g., a cutting blade 512)is/are oriented perpendicular to the second surface 506, among otherquantities, relative quantities, and/or orientation(s) of cutting blades512 that are possible and contemplated herein.

In other embodiments, the second surface 506 includes 14 cutting blades512 (see, e.g., FIG. 5C), among other quantities of cutting blades 512greater than or less than 14 cutting blades 512 that are possible andcontemplated herein. In FIG. 5C, one or more blades 512 (e.g., 7 cuttingblades 512) is/are oriented outwardly toward the right (e.g., is notperpendicular to the second surface 506) and one or more blades 512(e.g., 7 cutting blades 512) is/are oriented outwardly toward the leftand/or away from the blade(s) 512 oriented outwardly toward the right,among other quantities, relative quantities, and/or orientation(s) ofcutting blades 512 that are possible and contemplated herein.

While the surgical instruments 500 shown in FIGS. 5B and 5C including 9cutting blades 512 and 14 cutting blades 512, respectively, the variousembodiments of the surgical instrument 500 are not limited to 9 cuttingblades 512 and 14 cutting blades 512. That is, various other embodimentsof a surgical instrument 500 can include a different quantity of cuttingblades 512 such that the second surface 506 can include any suitablequantity of cutting blades 512 less than 9 cutting blades 512, between 9and 14 cutting blades 512, and greater than 14 cutting blades 512.

In some embodiments, the cutting blades 512 may be included on theentirety or substantially the entirety of the second surface 506. Inother embodiments, the cutting blades 512 may be included on at least aportion of the second surface 506. That is, the cutting blades 512 mayextend at least partially from the distal end 408 to the proximal end410.

The portion of the second surface 506 including the cutting blades 512may include any suitable sized portion that can produce a wedge-shapedosteotomy, a straight-cut osteotomy, and/or a parallel-cut osteotomy.Various embodiments of the surgical instrument 500 may include varyingsized portions of the second surface 506 including the cutting blades512 so that different sized and/or shaped osteotomies can be obtained.That is, different embodiments may include cutting blades 512 withdiffering lengths to produce different sized and/or shaped osteotomies.

A cutting blade 512 may include any suitable shape that can facilitateand/or assist the surgical instrument 500 in performing an osteotomy(e.g., a wedge-shaped osteotomy, a straight-cut osteotomy, and/or aparallel-cut osteotomy). In various embodiments, a cutting blade 512 caninclude a curved blade (e.g., a vertically curved blade), a straightblade, a smooth edge blade, a single edge blade, a waved blade (e.g., ahorizontally curved blade), or a wavy blade (e.g., a blade with multiplehorizontal curves), among other suitable shapes that can facilitatecutting bone that are possible and contemplated herein. In additional oralternative embodiments, a cutting blade 512 can include a straightcutting edge, smooth cutting edge, and/or a serrated cutting edge, amongother cutting edges that are possible and contemplated herein.

In some embodiments, all of the cutting blades 512 in the set of cuttingblades 512 on the second surface 506 include the same or substantiallythe same shape. In alternative embodiments, at least two cutting blades512 in the set of cutting blades 512 on the second surface 506 includedifferent shapes or substantially different shapes. In one non-limitingexample, at least one cutting blade 512 includes a straight blade and atleast one cutting blade 512 includes a curved blade (or othernon-straight blade), among other shapes and/or combinations of shapesthat are possible and contemplated herein. In an additional oralternative non-limiting example, the straight blade(s) and/or thecurved blade(s) include a serrated cutting edge.

A cutting blade 512 may include any suitable height that can facilitateand/or assist the surgical instrument 500 in performing an osteotomy(e.g., a wedge-shaped osteotomy, a straight-cut osteotomy, and/or aparallel-cut osteotomy). In various embodiments, the cutting blades 512can include a height in the range of about 0.1 mm to about 30 mm, amongother suitable heights that can facilitate cutting bone that arepossible and contemplated herein. In some embodiments, the cuttingblades 512 include a height of 0.75 mm.

In some embodiments, all of the cutting blades 512 in the set of cuttingblades 512 on the second surface 506 include a uniform height. Incertain embodiments, the second surface 506 includes a slope 418B and/oris sloped similar to one or more embodiments of the second surface 406of the surgical instrument 400 (see, e.g., FIGS. 4E through 4H) and thecutting blades 512 on the second surface 506 include a uniform height tocreate one or more columns 524 of cutting blades 512 that effectivelyupwardly increase in height from the distal end 408 to the proximal end410.

In alternative embodiments, the second surface 506 is flat with respectto the reference plane 425 or is not sloped similar to one or moreembodiments of the surgical instrument 400 and one or more of thecutting blades 512 on the second surface 506 include a height thatgradually increases from the distal end 408 to the proximal end 410 suchthat the cutting blade(s) 512 upwardly increase in height from thedistal end 408 to the proximal end 410.

FIGS. 6A through 6C are diagrams illustrating embodiments of a surgicalinstrument 600. At least in the illustrated embodiment, the surgicalinstrument 600 includes a double-sided device for cutting bone and/ortissue (e.g., a cutting device) and/or a multi-sided (e.g., two or moresided) a cutting device. While the description below refers to thesurgical instrument 600 as a double-sided cutting device, the belowdescription(s) apply equally to the various embodiments of the surgicalinstrument 500 that include(s) more than two sides (e.g., three (3) ormore sided cutting devices).

A surgical instrument 600 may be constructed of any suitable materialthat can cut bone. In various embodiments, the surgical instrument 600is constructed of a sterilized suitable material that can cut bone. Insome embodiments, the surgical instrument 600 includes stainless steel,carbon steel, aluminum, and titanium, among other suitable materials andcombinations of materials that are possible and contemplated herein. Inadditional or alternative embodiments, the surgical instrument 600includes surgical grade stainless steel, among other suitable surgicalgrade materials and combinations of materials that are possible andcontemplated herein.

In various embodiments, the surgical instrument 600 forms at least aportion of a cutting blade and/or cutting device. In some embodiments,the surgical instrument 600 forms at least a portion of a sagittal bladeand/or sagittal saw, among other cutting blades and/or cutting devicesthat are possible and contemplated herein.

At least in the embodiments illustrated in FIGS. 6A through 6C, thesurgical instrument 600 includes, among other features, a body 402, adistal end 408, a proximal end 410, a set of cutting teeth 414, anattachment mechanism 416, and a cutting tip 420 similar to the body 402,distal end 408, proximal end 410, set of cutting teeth 414, attachmentmechanism 416, and cutting tip 420 of the various embodiments of thesurgical instrument 400 discussed herein with reference to FIGS. 4Athrough 4J. A surgical instrument 600 further includes, among otherfeatures and/or elements, a first surface 404 and a second surface 606(see, e.g., FIG. 6A).

The first surface 404, in various embodiments, includes a set of cuttingburrs 412 similar to any of the embodiments of a first surface 404(e.g., first surfaces 404A through 404G) and/or embodiments of thecutting burr(s) 412 discussed with reference to FIGS. 4A through 4J.That is, the first surface 404 in the surgical instrument 600 mayinclude any quantity of cutting burrs 412 arranged and/or positioned onthe first surface 404 in any pre-set non-pattern configuration, randompattern, or patterned configuration similar to the various embodimentsof the surgical instrument 400 discussed with reference to FIGS. 4Athrough 4J (see, e.g., cutting burrs 412 positioned and/or arranged onthe first surfaces 404A through 404G). In some embodiments, the firstsurface 404 may include a set of cutting burrs 412 positioned and/orarranged on the first surface 404 in one or more rows 422 of cuttingburrs 412 and/or one or more columns 424 of cutting burrs 412 similar tothe various embodiments of the row(s) 422A of cutting burrs 412A and/orthe column(s) 424A of cutting burrs 412A positioned and/or arranged onthe first surface 404G (see. e.g., FIG. 4I).

In various embodiments, the second surface 606 includes a set of cuttingblades 612 positioned thereon. As illustrated in at least FIGS. 6B and6C, the set of cutting blades 612 are spaced apart and positionedvertically and/or at an angle with respect to the second surface 606 toform a set of rows 622 of cutting blades 612.

The cutting blade 612 may include any suitable structure, surface,and/or edge that is capable of cutting and/or performing an osteotomy.In some embodiments, the cutting blade 612 includes a single edge and/ora single smooth edge, among other blades and/or edges that are possibleand contemplated herein.

A set of cutting blades 612 may include any suitable quantity of cuttingblades 612 and/or quantity of rows 622 of cutting blades 612 that canfacilitate and/or assist the surgical instrument 600 in performing anosteotomy (e.g., a wedge-shaped osteotomy, a straight-cut osteotomy,and/or a parallel-cut osteotomy). In various embodiments, the secondsurface 606 includes a suitable quantity of cutting blades 612 so thatthe surgical instrument 600 can perform an osteotomy in one cut and/orone pass.

In various embodiments, the second surface 606 includes a quantity ofcutting blades 612 in the range of about 2 cutting blades 612 to about40 cutting blades 612, among other ranges of quantities of cuttingblades 612 and/or quantities of cutting blades 612 that are possible andcontemplated herein. In some embodiments, the second surface 606includes 9 cutting blades 612 (see, e.g., FIG. 6B), among otherquantities of cutting blades 612 greater than or less than 9 cuttingblades 612 that are possible and contemplated herein. In FIG. 6B, thecutting blades 612 are oriented perpendicular to the second surface 606,among other quantities and/or orientation(s) of cutting blades 612 thatare possible and contemplated herein.

In other embodiments, the second surface 606 includes 8 cutting blades612 (see, e.g., FIG. 6C), among other quantities of cutting blades 612greater than or less than 8 cutting blades 612 that are possible andcontemplated herein. In FIG. 6C, one or more blades 612 (e.g., 4 cuttingblades 612) is/are oriented outwardly toward the distal end 408 (e.g.,is not perpendicular to the second surface 606) and one or more blades612 (e.g., 4 cutting blades 612) is/are oriented outwardly to theproximal end 410 (e.g., is not perpendicular to the second surface 606),among other quantities, relative quantities, and/or orientation(s) ofcutting blades 612 that are possible and contemplated herein.

While the surgical instruments 600 shown in FIGS. 6B and 6C including 9cutting blades 612 and 8 cutting blades 612, respectively, the variousembodiments of the surgical instrument 600 are not limited to 9 cuttingblades 612 and 8 cutting blades 612. That is, various other embodimentsof a surgical instrument 600 can include a different quantity of cuttingblades 612 such that the second surface 606 can include any suitablequantity of cutting blades 612 less than 8 cutting blades 612 andgreater than 9 cutting blades 612.

In some embodiments, the cutting blades 612 may be included on theentirety or substantially the entirety of the second surface 606. Inother embodiments, the cutting blades 612 may be included on at least aportion of the second surface 606. That is, the rows 624 of cuttingblades 612 may extend at least partially from the distal end 608 to theproximal end 610.

The portion of the second surface 606 including the cutting blades 612may include any suitable sized portion that can produce a wedge-shapedosteotomy, a straight-cut osteotomy, and/or a parallel-cut osteotomy.Various embodiments of the surgical instrument 600 may include varyingsized portions of the second surface 606 including the cutting blades612 so that different sized and/or shaped osteotomies can be obtained.That is, different embodiments may include cutting blades 612 withdiffering lengths to produce different sized and/or shaped osteotomies.

The cutting blade 612 may include any suitable shape that can facilitateand/or assist the surgical instrument 600 in performing an osteotomy(e.g., a wedge-shaped osteotomy, a straight-cut osteotomy, and/or aparallel-cut osteotomy). In various embodiments, the cutting blade 612can include a curved blade (e.g., a vertically curved blade), a straightblade, a smooth edge blade, a single edge blade, a waved blade (e.g., ahorizontally curved blade), or a wavy blade (e.g., a blade with multiplehorizontal curves), among other suitable shapes that can facilitatecutting bone that are possible and contemplated herein. In additional oralternative embodiments, a cutting blade 612 can include a straightcutting edge, smooth cutting edge, and/or a serrated cutting edge, amongother cutting edges that are possible and contemplated herein.

In some embodiments, all of the cutting blades 612 in the set of cuttingblades 612 on the second surface 606 include the same or substantiallythe same shape. In alternative embodiments, at least two cutting blades612 in the set of cutting blades 612 on the second surface 606 includedifferent shapes or substantially different shapes. In one non-limitingexample, at least one cutting blade 612 includes a straight blade and atleast one cutting blade 612 includes a curved blade (or othernon-straight blade), among other shapes and/or combinations of shapesthat are possible and contemplated herein. In an additional oralternative non-limiting example, the straight blade(s) and/or thecurved blade(s) include a serrated cutting edge.

A cutting blade 612 may include any suitable height that can facilitateand/or assist the surgical instrument 600 in performing an osteotomy(e.g., a wedge-shaped osteotomy). In various embodiments, the cuttingblades 612 can include a height in the range of about 0.1 mm to about 30mm, among other suitable heights that can facilitate cutting bone thatare possible and contemplated herein. In some embodiments, the cuttingblades 612 include a height of 0.75 mm.

In some embodiments, all of the cutting blades 612 in the set of cuttingblades 612 on the second surface 606 include a uniform height. Incertain embodiments, the second surface 606 includes a slope 418B and/oris sloped similar to one or more embodiments of the second surface 406of the surgical instrument 400 (see, e.g., FIGS. 4E through 4H) and thecutting blades 612 on the second surface 606 include a uniform height tocreate one or more rows 622 of cutting blades 612 that effectivelyupwardly increase in height from the distal end 408 to the proximal end410.

In alternative embodiments, the second surface 606 is flat with respectto the reference plane 425 or is not sloped similar to one or moreembodiments of the surgical instrument 400 and the rows 622 of cuttingblades 612 on the second surface 606 include a height that graduallyincreases from the distal end 408 to the proximal end 410 such that therows 622 of cutting blade(s) 612 upwardly increase in height from thedistal end 408 to the proximal end 410.

In various embodiments, the surgical instruments 400 through 600 eachform at least a portion of a cutting blade and/or cutting device. Insome embodiments, the surgical instruments 400 through 600 form at leasta portion of a sagittal blade and/or sagittal saw, among other cuttingblades and/or cutting devices that are possible and contemplated herein.

In various embodiments, the surgical instruments 400 through 600 caneach be utilized to perform an osteotomy, which can include any suitableosteotomy that is known or developed in the future. In some embodiments,the osteotomy performed by the surgical instruments 400 through 600includes cutting and/or preparing a single bone (e.g., a cuneiform, ametatarsal, calcaneus, metacarpal, humerus, and femur, etc.).

In additional or alternative embodiments, the surgical instruments 400through 600 can each be utilized to perform two or more osteotomies. Incertain embodiments, the surgical instruments 400 through 600 can eachbe utilized to simultaneously perform two or more osteotomies, which caninclude cutting two different bones at the same time (e.g., a cuneiformand a metatarsal, carpal and metacarpal, and humerus and scapula, etc.).

In one non-limiting example, a first bone may be cut/prepared with oneside of a surgical instrument 400 through 600 and a second bone may becut/prepared with another or different side of the surgical instrument400 through 600. Here, the first and second bones may be cut/prepared inseries (e.g., one at a time), cut/prepared in parallel (e.g., at thesame time or simultaneously), and/or cut/prepared substantially inparallel and/or series.

In another non-limiting example, a first portion of a bone may becut/prepared with one side of the surgical instrument 400 through 600and a second or different portion of the same bone may be cut/preparedwith another or different side of the surgical instrument 400 through600. Here, the first and second bones may be cut/prepared in series(e.g., one at a time), cut/prepared in parallel (e.g., at the same timeor simultaneously), and/or cut/prepared substantially in parallel and/orseries.

In still another non-limiting example, a first bone and a second bonemay be cut/prepared with the same side of the surgical instrument 400through 600. Here, the first and second bones may be cut/prepared inseries (e.g., one at a time), cut/prepared in parallel (e.g., at thesame time or simultaneously), and/or cut/prepared substantially inparallel and/or series.

In yet another non-limiting example, a first portion and a secondportion of the same bone may be cut/prepared with the same side of thesurgical instrument 400 through 600. Here, the first and second bonesmay be cut/prepared in series (e.g., one at a time), cut/prepared inparallel (e.g., at the same time or simultaneously), and/or cut/preparedsubstantially in parallel and/or series.

In a further non-limiting example, the same portion of the same bone maybe cut with different sides of the surgical instrument 400 through 600.Here, the first and second bones may be cut/prepared in series (e.g.,one at a time), cut/prepared in parallel (e.g., at the same time orsimultaneously), and/or cut/prepared substantially in parallel and/orsubstantially in series.

In various embodiments, at least one of the two or more osteotomiescapable of being performed by a surgical instrument 400 through 600includes a wedge-shaped osteotomy and at least one of the two or moreosteotomies includes a straight-cut osteotomy or a parallel-cutosteotomy, among other types of osteotomies and/or combinations ofosteotomies that are possible and contemplated herein. In otherembodiments, at least one of the two or more osteotomies capable ofbeing performed by the surgical instrument 400 through 600 includes astraight-cut osteotomy and at least one of the two or more osteotomiesincludes a wedge-cut osteotomy or a parallel-cut osteotomy, among othertypes of osteotomies and/or combinations of osteotomies that arepossible and contemplated herein. In still other embodiments, at leastone of the two or more osteotomies capable of being performed by thesurgical instrument 400 through 1000 includes a parallel-cut osteotomyand at least one of the two or more osteotomies includes a wedge-cutosteotomy or a straight-cut osteotomy, among other types of osteotomiesand/or combinations of osteotomies that are possible and contemplatedherein.

In some embodiments, a surgical instrument 400 through 600 (e.g., viafirst surface and second surface) can perform and/or facilitateperformance of a relatively large or larger wedge-shaped osteotomybetween two bones (e.g., at a joint) and/or the first surface canperform and/or facilitate performance of a relatively small or smallerwedge-shaped osteotomy on a first bone and the second surface canperform and/or facilitate performance of another relatively small orsmaller wedge-shaped osteotomy on a second bone, which can include thesame size or a different size wedge-shaped osteotomy than the firstsurface. In other embodiments, the surgical instrument 400 through 600(e.g., via first surface and second surface) can perform and/orfacilitate performance of a relatively large or larger straight-cutosteotomy between two bones (e.g., at a joint) and/or the first surfacecan perform and/or facilitate performance of a relatively small orsmaller straight-cut osteotomy on a first bone and the second surfacecan perform and/or facilitate performance of another relatively small orsmaller straight-cut osteotomy on a second bone, which can include thesame size or a different size straight-cut osteotomy than the firstsurface. In other embodiments, the surgical instrument 400 through 600(e.g., via first surface and second surface) can perform and/orfacilitate performance of a relatively large or larger parallel-cutosteotomy between two bones (e.g., at a joint) and/or the first surfacecan perform and/or facilitate performance of a relatively small orsmaller parallel-cut osteotomy on a first bone and the second surfacecan perform and/or facilitate performance of another relatively small orsmaller parallel-cut osteotomy on a second bone, which can include thesame size or a different size parallel-cut osteotomy than the firstsurface.

FIG. 7 is a schematic flow chart diagram illustrating one embodiment ofa method 700 for aligning two bones connected at a joint. The two bonesmay be any two bones separated by any joint (e.g., in a human oranimal).

At least in the illustrated embodiment, the method 700 begins byperforming an incision in a patient to open and/or access a target joint(block 702). The target joint may include any suitable joint between anytwo bones. Further, the incision may be performed at any suitablelocation at the target joint and/or bone(s) that can enable access thetarget joint.

A soft tissue release is performed at the joint (block 704). The softtissue release may include any suitable technique and/or procedure thatcan release the target joint and/or one or both of the bones at thetarget joint.

Two bones at the target joint are simultaneously cut and/or prepared(block 706). The two bones may be simultaneously cut using adouble-sided surgical instrument. In some embodiments, simultaneouslycutting the two bones at the target joint with the double-sided surgicalinstrument includes simultaneously cutting the two bones at the targetjoint with one or more embodiments of a surgical instrument 400. Inother embodiments, simultaneously cutting the two bones at the targetjoint with the double-sided surgical instrument includes simultaneouslycutting the two bones at the target joint with one or more embodimentsof a surgical instrument 500. In still other embodiments, simultaneouslycutting the two bones at the target joint with the double-sided surgicalinstrument includes simultaneously cutting the two bones at the targetjoint with one or more embodiments of a surgical instrument 600.

The alignment of the two bones is corrected subsequent to simultaneouslycutting the two bones at the target joint (block 708). Correcting thealignment of the two bones includes, in various embodiments, correctingthe alignment of the two bones in one plane, two planes, or threeplanes, which can include a transverse plane, a sagittal plane, and/or afrontal plane.

After correction of the alignment, the two bones are fixated (block710). The bones may be fixated using any fixation technique(s) and/orfixation device(s) that is/are known or developed in the future. Invarious embodiments, the two bones are fixated using a fixation devicemanufactured by Fusion Orthopedics, LLC of Mesa, Ariz.

FIG. 8 is a schematic flow chart diagram illustrating another embodimentof a method 800 for aligning two bones connected at a joint. In variousembodiments, the joint includes a tarsal-metatarsal joint and the twobones include a metatarsal and a cuneiform. In certain embodiments, themetatarsal includes the first metatarsal and cuneiform. Further, themethod 800 may be utilized to correct a bunion. That is, the method 800can include a bunionectomy.

At least in the illustrated embodiment, the method 800 begins byperforming an incision in a patient to open and/or access atarsal-metatarsal joint (block 802). The incision may be performed atany suitable location on and/or at the tarsal-metatarsal joint,metatarsal, and/or cuneiform. In various embodiments, the incision canbe performed on the top and/or side of the metatarsal (e.g., the firstmetatarsal).

A soft tissue release is performed at the tarsal-metatarsal joint (block804). The soft tissue release may include any suitable technique and/orprocedure that can release soft tissue at the tarsal-metatarsal joint.In some embodiments, the soft tissue release includes a lateral releaseof soft tissue.

The metatarsal and cuneiform at the tarsal-metatarsal joint aresimultaneously cut and/or prepared (block 806). The metatarsal and thecuneiform may be simultaneously cut using a double-sided surgicalinstrument. In some embodiments, simultaneously cutting the metatarsaland the cuneiform with the double-sided surgical instrument includessimultaneously cutting the metatarsal and the cuneiform with one or moreembodiments of a surgical instrument 400. In other embodiments,simultaneously cutting the metatarsal and the cuneiform with thedouble-sided surgical instrument includes simultaneously cutting themetatarsal and the cuneiform with one or more embodiments of a surgicalinstrument 500. In still other embodiments, simultaneously cutting themetatarsal and the cuneiform with the double-sided surgical instrumentincludes simultaneously cutting the metatarsal and the cuneiform withone or more embodiments of a surgical instrument 600.

The alignment of the metatarsal and the cuneiform is correctedsubsequent to simultaneously cutting the metatarsal and the cuneiform(block 808). Correcting the alignment of the metatarsal and thecuneiform includes, in various embodiments, correcting the alignment ofthe metatarsal and the cuneiform in one plane, two planes, or threeplanes, which can include a transverse plane, a sagittal plane, and/or afrontal plane.

After correction of the alignment, the metatarsal and the cuneiform arefixated to one another (block 810). The metatarsal and the cuneiform maybe fixated using any fixation technique(s) and/or fixation device(s)that is/are known or developed in the future. In various embodiments,the metatarsal and the cuneiform are fixated using a fixation devicemanufactured by Fusion Orthopedics, LLC of Mesa, Ariz.

FIG. 9 is a schematic flow chart diagram illustrating yet anotherembodiment of a method 900 for aligning two bones connected at a joint.The two bones may be any two bones separated by any joint (e.g., in ahuman or animal).

At least in the illustrated embodiment, the method 900 begins byperforming an incision in a patient to open and/or access a target joint(block 902). The target joint may include any suitable joint between anytwo bones. Further, the incision may be performed at any suitablelocation at the target joint and/or bone(s) that can enable access thetarget joint.

A soft tissue release is performed at the joint (block 904). The softtissue release may include any suitable technique and/or procedure thatcan release the target joint and/or one or both of the bones at thetarget joint.

The alignment of two bones at the target joint is corrected (block 906).Correcting the alignment of the two bones includes, in variousembodiments, correcting the alignment of the two bones in one plane, twoplanes, or three planes, which can include a transverse plane, asagittal plane, and/or a frontal plane.

Subsequent to correcting the alignment, the two bones are simultaneouslycut and/or prepared (block 908). The two bones may be simultaneously cutusing a double-sided surgical instrument. In some embodiments,simultaneously cutting the two bones at the target joint with thedouble-sided surgical instrument includes simultaneously cutting the twobones at the target joint with one or more embodiments of a surgicalinstrument 400. In other embodiments, simultaneously cutting the twobones at the target joint with the double-sided surgical instrumentincludes simultaneously cutting the two bones at the target joint withone or more embodiments of a surgical instrument 500. In still otherembodiments, simultaneously cutting the two bones at the target jointwith the double-sided surgical instrument includes simultaneouslycutting the two bones at the target joint with one or more embodimentsof a surgical instrument 600.

After simultaneously cutting the two bones, the two bones are fixated(block 910). The bones may be fixated using any fixation technique(s)and/or fixation device(s) that is/are known or developed in the future.In various embodiments, the two bones are fixated using a fixationdevice manufactured by Fusion Orthopedics, LLC of Mesa, Ariz.

FIG. 10 is a schematic flow chart diagram illustrating still anotherembodiment of a method 1000 for aligning two bones connected at a joint.In various embodiments, the joint includes a tarsal-metatarsal joint andthe two bones include a metatarsal and a cuneiform. In certainembodiments, the metatarsal includes the first metatarsal and cuneiform.Further, the method 1000 may be utilized to correct a bunion. That is,the method 1000 can include a bunionectomy.

At least in the illustrated embodiment, the method 1000 begins byperforming an incision in a patient to open and/or access atarsal-metatarsal joint (block 1002). The incision may be performed atany suitable location on and/or at the tarsal-metatarsal joint,metatarsal, and/or cuneiform. In various embodiments, the incision canbe performed on the top and/or side of the metatarsal (e.g., the firstmetatarsal).

A soft tissue release is performed at the tarsal-metatarsal joint (block1004). The soft tissue release may include any suitable technique and/orprocedure that can release soft tissue at the tarsal-metatarsal joint.In some embodiments, the soft tissue release includes a lateral releaseof soft tissue.

The alignment of the metatarsal and the cuneiform is corrected (block1006). Correcting the alignment of the metatarsal and the cuneiformincludes, in various embodiments, correcting the alignment of themetatarsal and the cuneiform in one plane, two planes, or three planes,which can include a transverse plane, a sagittal plane, and/or a frontalplane.

Subsequent to correcting the alignment, the metatarsal and cuneiform atthe tarsal-metatarsal joint are simultaneously cut and/or prepared(block 1008). The metatarsal and the cuneiform may be simultaneously cutusing a double-sided surgical instrument. In some embodiments,simultaneously cutting the metatarsal and the cuneiform with thedouble-sided surgical instrument includes simultaneously cutting themetatarsal and the cuneiform with one or more embodiments of a surgicalinstrument 400. In other embodiments, simultaneously cutting themetatarsal and the cuneiform with the double-sided surgical instrumentincludes simultaneously cutting the metatarsal and the cuneiform withone or more embodiments of a surgical instrument 500. In still otherembodiments, simultaneously cutting the metatarsal and the cuneiformwith the double-sided surgical instrument includes simultaneouslycutting the metatarsal and the cuneiform with one or more embodiments ofa surgical instrument 600.

After simultaneously cutting the metatarsal and the cuneiform, themetatarsal and the cuneiform are fixated to one another (block 1010).The metatarsal and the cuneiform may be fixated using any fixationtechnique(s) and/or fixation device(s) that is/are known or developed inthe future. In various embodiments, the metatarsal and the cuneiform arefixated using a fixation device manufactured by Fusion Orthopedics, LLCof Mesa, Ariz.

The various embodiments discussed herein may be practiced in otherspecific forms and the described embodiments are to be considered in allrespects only as illustrative, and not restrictive. The scope of thetechnology is, therefore, indicated by the appended claims rather thanby the foregoing description. All changes that come within the meaningand range of equivalency of the claims are to be embraced within theirscope. That is, one of ordinary skill in the art will appreciate thatmodifications and/or adaptations to the various aspects may be madewithout departing from the scope of the present technology, as set forthin the following claims.

1. A method for performing an osteotomy, comprising: cutting a firstbone with a first surface of a cutting device; and cutting a second bonewith a second surface of the cutting device, wherein the cutting devicecomprises: a first plurality of cutting burrs positioned on the firstsurface, and a second plurality of cutting burrs positioned on thesecond surface.
 2. The method of claim 1, wherein: cutting the firstbone comprises cutting a metatarsal with the first plurality of cuttingburrs positioned on the first surface; and cutting the second bonecomprises cutting a cuneiform with the second plurality of cutting burrspositioned on the second surface.
 3. The method of claim 1, wherein:cutting the first bone comprises cutting a metatarsal with the secondplurality of cutting burrs positioned on the second surface; and cuttingthe second bone comprises cutting a cuneiform with the first pluralityof cutting burrs positioned on the first surface.
 4. The method of claim1, wherein cutting the first bone and cutting the second bone comprisessimultaneously cutting the first bone and the second bone at a jointbetween the first bone and the second bone.
 5. The method of claim 4,wherein: cutting the first bone comprises cutting a metatarsal with thefirst plurality of cutting burrs positioned on the first surface; andcutting the second bone comprises cutting a cuneiform with the secondplurality of cutting burrs positioned on the second surface.
 6. Themethod of claim 4, wherein: cutting the first bone comprises cutting ametatarsal with the second plurality of cutting burrs positioned on thesecond surface; and cutting the second bone comprises cutting acuneiform with the first plurality of cutting burrs positioned on thefirst surface.
 7. The method of claim 1, wherein one of: the firstsurface comprises a first slope and the second surface comprises asecond slope; the first surface comprises a first flat surface and thesecond surface comprises a second flat surface; the first surfacecomprises a third slope and the second surface comprises a third flatsurface; and the first surface comprises a fourth flat surface and thesecond surface comprises a fourth slope.
 8. A method for performing anosteotomy, comprising: cutting a first bone with a first surface of acutting device; and cutting a second bone with a second surface of thecutting device, wherein the cutting device comprises: a plurality ofcutting burrs, and a plurality of columns of cutting blades.
 9. Themethod of claim 8, wherein: cutting the first bone comprises cutting ametatarsal with the plurality of cutting burrs positioned on the firstsurface; and cutting the second bone comprises cutting a cuneiform withthe plurality of columns of cutting burrs positioned on the secondsurface.
 10. The method of claim 8, wherein: cutting the first bonecomprises cutting a metatarsal with the plurality of cutting burrspositioned on the second surface; and cutting the second bone comprisescutting a cuneiform with the plurality of columns of cutting burrspositioned on the first surface.
 11. The method of claim 8, whereincutting the first bone and cutting the second bone comprisessimultaneously cutting the first bone and the second bone at a jointbetween the first bone and the second bone.
 12. The method of claim 11,wherein: cutting the first bone comprises cutting a metatarsal with theplurality of cutting burrs positioned on the first surface; and cuttingthe second bone comprises cutting a cuneiform with the plurality ofcolumns of cutting burrs positioned on the second surface.
 13. Themethod of claim 11, wherein: cutting the first bone comprises cutting ametatarsal with the plurality of cutting burrs positioned on the secondsurface; and cutting the second bone comprises cutting a cuneiform withthe plurality of columns of cutting burrs positioned on the firstsurface.
 14. The method of claim 8, wherein one of: the first surfacecomprises a first slope and the second surface comprises a second slope;the first surface comprises a first flat surface and the second surfacecomprises a second flat surface; the first surface comprises a thirdslope and the second surface comprises a third flat surface; and thefirst surface comprises a fourth flat surface and the second surfacecomprises a fourth slope.
 15. A method for performing an osteotomy,comprising: cutting a first bone with a first surface of a cuttingdevice; and cutting a second bone with a second surface of the cuttingdevice, wherein the cutting device comprises: a plurality of cuttingburrs, and a plurality of rows of cutting blades.
 16. The method ofclaim 15, wherein: cutting the first bone comprises cutting a metatarsalwith the plurality of cutting burrs positioned on the first surface; andcutting the second bone comprises cutting a cuneiform with the pluralityof rows of cutting burrs positioned on the second surface.
 17. Themethod of claim 15, wherein: cutting the first bone comprises cutting ametatarsal with the plurality of cutting burrs positioned on the secondsurface; and cutting the second bone comprises cutting a cuneiform withthe plurality of rows cutting burrs positioned on the first surface. 18.The method of claim 15, wherein cutting the first bone and cutting thesecond bone comprises simultaneously cutting the first bone and thesecond bone at a joint between the first bone and the second bone. 19.The method of claim 18, wherein: cutting the first bone comprisescutting a metatarsal with the plurality of cutting burrs positioned onthe first surface; and cutting the second bone comprises cutting acuneiform with the plurality of rows cutting burrs positioned on thesecond surface.
 20. The method of claim 18, wherein: cutting the firstbone comprises cutting a metatarsal with the plurality of cutting burrspositioned on the second surface; and cutting the second bone comprisescutting a cuneiform with the plurality of rows cutting burrs positionedon the first surface.